Clinic business

Amaris B. Clinic is seeing more patients for liposuction due to ineffectiveness of non-surgical fat reduction treatments, Business News

Doctor Ivan Puahmedical director of the Amaris B. Clinic, has performed modern liposuction and corrective surgeries for patients who have experienced less than satisfactory results with non-surgical treatments and those who suffer from PAH, a rare side effect of cryolipolysis.

SINGAPORE, July 15, 2022 /PRNewswire/ — Advances in technology have led to the development of numerous fat reduction treatment options and modalities. Non-invasive treatments, in particular, have become the preferred choice because they are affordable and result in minimal downtime, among other things.

One of the most popular and readily available is fat freezing or cryolipolysis, which works on the basis that adipocytes, compared to other skin cells, are more sensitive to cooling. An applicator is used on targeted areas to initiate adipocyte apoptosis, which leads to digestion of dead cells by surrounding macrophages. Variety of applicator head can be used depending on the need. Before the treated fat cells are completely digested, an inflammatory process is triggered and, within a few weeks, the volume of adipocytes decreases as the inflammation decreases. Two to three months after the treatment, the volume of fat in the treated area gradually decreases.

Liposuction, the gold standard in body contouring, faces fierce competition due to the rise of non-invasive treatments over the past decade. In recent years, however, Dr. Ivan Puah has seen a dramatic increase in the number of patients who have tried non-invasive fat reduction treatments turning to liposuction, largely due to unsatisfactory results. Data collected by the Amaris B. Clinic, where Dr. Ivan Puah practices, showed that eight out of ten patients had undergone various types of non-surgical fat loss treatments, including fat freezing.

Another reason could be that more patients with paradoxical adipose hyperplasia (PAH), a rare but lifelong side effect of fat freezing, are now more aware of their condition and are actively seeking help to remedy the problem.

model Linda Evangelist spoke about her negative experience with fat freezing in 2020. She developed PAH and according to her the treatment “permanently deformed and brutally disfigured her”, and she had turned to liposuction to treat the ‘PAH. Reportedly, Ms Evangelista even took legal action seeking compensation for the damages.

PAH is a condition in which fatty tissue in the treated area grows, thickens and expands. This usually develops about three to six months after treatment. “Patients have been told that PAH is rare. However, I see more and more patients coming forward for a second opinion,” says Dr. Ivan Puah.

Dr. Puah observed that patients with PAH are generally unaware that the cause of the deformity is the result of fat freezing. “When the area continues to grow, causing pain and swelling resembling the shape of the applicator’s head, only then do they realize it’s unusual and decide to seek help. Once PAH develops, the condition is unfortunately permanent and will require surgical correction,” he added.

There are merits and benefits associated with different non-surgical fat reduction modalities and technologies. The most common are cost, convenience, minimal downtime, and the perception that the results are equivalent to liposuction. However, differences should not be ignored, including response rate, level of discomfort/pain, side effects, and number of treatment sessions needed. The responsibility lies with the service providers to explain and discuss in detail so that the patient can make an informed decision.

In 2021, the United States Food and Drug Administration (FDA) issued an FDA Class 2 Recall (Medical Device Recall) on certain cryolipolysis devices.

“Non-invasive treatments are based on the principle of inducing either fat cell necrosis or apoptosis, without the risks associated with surgical fat removal. However, non-surgical solutions often require individuals to incorporate management weight loss in order to achieve a tangible and quantifiable result over a longer period of time. Otherwise, the results may not be comparable to liposuction, which is more dramatic because it involves immediate removal and remodeling of the fat,” says Dr. Ivan Puah.

According to the doctor Ivan Puah, Liposuction has evolved with technological advances. The risks and complications associated with traditional liposuction have been significantly reduced through the use of technologies in the hands of an experienced and qualified physician. “Results are immediate and predictable. Successful surgeons also have the tools to shape and sculpt the area. Downtime and pain have been minimized, and patients can recover faster with little disruption to daily activities. “, says Dr. Ivan Puah.

Surgical and non-surgical fat reduction treatments have their pros and cons. In this new era where social media heavily influences the decision to try new treatments, it’s not hard to see why non-invasive treatments are popular. However, we must warn patients that it is unwise to blindly embark on the latest fashionable treatment without understanding the implications, side effects and possible complications that could affect their lives.


Doctor Ivan Puah is the Medical Director of the Amaris B. Clinic, a medical aesthetics, sculpting and fitness clinic in Singapore. He obtained his VASER® Body Sculpting training in Colorado and Argentina. He has also received training and advice on syringe liposculpture, fat grafting and thread lift surgery by renowned French plastic surgeon, Dr. Pierre Francois Fournieras well as surgical training dedicated to gynecomastia surgery in San Francisco. In Singaporedr. Ivan Puah is accredited by the Department of Health to perform Liposuction and is Chair of the Lipo Peer Review Committee at Singapore.

dr. Ivan Puah holds a Post Graduate Diploma in Family Dermatology from NUS, a Post Graduate Diploma in Acupuncture from TCMB and a Post Graduate Diploma in Sports Medicine from LKCMedicine, NTU. He is also the designated trainer for Allergan and Merz for fellow physicians on botulinum toxin and dermal fillers. He is also the designated training for Venusys Medical’s N-Cog Thread and Picocare Laser in Singapore.


Founded in 2004, the Amaris B. clinic offers medical aesthetics and body sculpting services. Amaris B Clinic’s forte is body sculpting – the surgical removal of stubborn pockets of fat to sculpt and shape different areas of the body through a variety and combination of services offered. Amaris B. Clinic was recognized as the “Body Sculpting Medical Center of the Year (2021)” in Asia Pacific“, “2020 Body Sculpting Medical Center of the Year in the Asia Pacific“, “Integrated Health Care Medical Center of the Year 2020 in the Asia Pacific” and “Body Sculpting Provider of the Year 2019 in the Asia Pacific“, by GlobalHealth Asia Pacific. The clinic also bagged the best innovative treatments for Dr. by Ivan Puah exclusive liposuction technique, VASER Lipo with MDC-sculpt® Lipo Technique from Daily Vanity’s Spa & Hair Awards 2021 and Honeycombers’ Love Local Awards 2021 – Editor’s Choice Winner: Best Aesthetic Clinic in Singapore.

The clinic’s signature treatments include: