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WARNING: This is a medical blog which contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!! You do not visit a medical library, browse anatomy or medical examination text books which feature a lot of nudity, then complain to the library about it, do you? Do you browse a cosmetic surgery text book, then threaten to sue the author and publisher of the text book because it is against your belief? Do you raid cosmetic surgery clinics in Korea to demand financial compensation, because the surgeons perform cosmetic surgeries, which is against your belief? Stay away from this blog, if you are such person. We have warned you!!!!!!

Welcome to L’Elixir de Vie by Arthur Tjandra, a blog which contains case studies of cosmetic surgeries performed by Dr Arthur Tjandra, mostly liposuction and autologous fat transfer surgeries!

Surgeon Who Specializes in Only One Particular Surgery Could be Best for the Job

A new retrospective analysis shows that the best surgeon for the job is one who specializes in that particular operation.

More than 695,000 operations performed by 25,152 surgeons were analyzed for the study, published in the July 2016 issue of the British Medical Journal.

The study authors say their results suggest that a surgeon who performs only a particular surgery 20 times day in and day out but no other surgery, may end up with better outcomes than a surgeon who does the same surgery 40 times among a mix of 60 other types of surgeries.

Reference: BMJ. 2016 Jul 21; 354:i3571

If you are looking for the most-qualified and experienced surgeon for liposuction and/or autologous fat grafting surgeries, you have come to the right place! Not all plastic surgeons are created equal. Every surgeon has his own area of expertise which he is most passionate about. If you wish to get liposuction done, you do not want to go to a surgeon who is good at rhinoplasty, but performs only a handful of liposuction surgeries annually, and vice versa. You do not want to look for a surgeon who is the jack of all trades. You want to look for the master of a specific surgery! There is a misconception that plastic surgery is identical to cosmetic surgery. Cosmetic surgery is but one very small component (less than 10%) of plastic surgery training. The term “plastic surgery” and “cosmetic/aesthetic surgery” cannot and should not be used interchangeably. As a matter of fact, a board-certified plastic surgeon may not even have the necessary exposure and training to be a good cosmetic surgeon. A good plastic surgeon may not have the aesthetic sense to be a good cosmetic surgeon. Cosmetic surgery goes beyond technical skill. It is an art. It requires the vision of an artist. What many patients do not know is that adequate cosmetic surgery experience is usually gained only during post-residency fellowship training AFTER one has become a plastic surgeon! And not all plastic surgeons enroll in cosmetic surgery fellowship programs, because they may not have interest in cosmetic surgeries! A typical plastic surgery residency program takes 3 to 4 years to complete, after which, one, upon passing examinations, becomes full-fledged plastic surgeon. Let us take a look at a typical plastic surgery training program. This is one from UCSD School of Medicine: 2015-2016 Independent Rotation Schedule. Let us count how many months a plastic surgery resident spends his time training in cosmetic surgery. During Year 1, one month is dedicated to basic aesthetic surgery training. In Year 2, another one month is spent in basic aesthetic surgery. In Year 3, one month each is spent in both basic and advanced aesthetic surgery. So, the total amount of time a resident spends in aesthetic training are just 4 months! Now, if you break down aesthetic surgeries into anatomical regions and types of surgeries, you will realize that even a board-certified plastic surgeon may not have adequate exposure and experience to be an expert in any particular surgery, especially cosmetic surgeries! Take liposuction surgery for an example. As a matter of fact, most plastic surgeons fresh out of residency training, may have performed only less than 20 liposuction surgeries! To make matter worse, many aesthetic/cosmetic surgeries, including liposuction, are non-claimable from medical insurers/Medicare/Medisave/government subsidies. Hence, if a patient wishes to have aesthetic surgery done, they have to pay in full, in cash! Now, if you had to pay for a surgery yourself, would you want a trainee surgeon to operate on you? One is only willing to do that if one does not have to pay for the surgery, or one is paying subsidized rates. But, having said that, how many patients are willing to have cosmetic surgery performed on their faces or bodies by a surgeon who is still training, knowing that they may end up with life-long scars which affect their looks? Many patients willingly allow trainee doctors treat their diabetes, hypertension, heart attack, take out their appendixes, fix bone fractures, etc, but when it comes to cosmetic surgery, they only want the senior consultants (the attending) to perform the surgeries! In this case, when do trainee surgeons get the opportunity to practice? It is a sad fact of life! If you are poor and you cannot afford to pay, you have to go to a public or teaching hospital to give trainee doctors opportunity to practice on you in return for free or subsidized treatments. But, unfortunately with cosmetic surgery, even if you are willing to be practiced on by trainee surgeons, you still have to pay for it! Hence, when you have to pay for it, you will want to make sure that no trainee touches you! As a matter of fact, during residency training, most residents only get the opportunity to become assistants/second surgeons, and not the main surgeons, because full-fee-paying patients have the rights to demand for a specialist consultant or senior consultant to perform the surgery for them. And since most patients go to established surgeons in private practice for their cosmetic surgeries, instead of teaching hospitals, the volume of cosmetic surgery cases  in teaching hospitals are notably low! In fact, in some countries, liposuction is not required in the core curriculum of plastic surgery training in order for one to “graduate” as a plastic surgeon! We know of quite a number of plastic surgeons who have not performed a single liposuction surgery on their own, as the main surgeons, throughout their entire residency training! That is why a plastic surgeon who wishes to offer cosmetic surgeries in his practice, usually spends another 1 to 2 years in fellowship training in specific cosmetic surgeries. One to two years are definitely still not enough time to equip one with the skill to perform cosmetic surgeries from head to toes, so they have to choose to train in very specific surgeries. You must have thought that they get to perform surgeries as the main surgeons while training as fellows? Wrong! Fellows usually only get the roles as assistants, and many, depending on the volume of cases, only get to watch! But, at least they get to spend the full one to two years learning, assisting, and watching cosmetic surgeries being performed. Without fellowship training, the 3-4 months they spend in aesthetic surgery during plastic surgery residency, is grossly inadequate to equip them with the skill and expertise to perform cosmetic surgeries in their own practice later on in their career. In countries where cosmetic surgeries are not allowed to be performed on people with certain belief, such as in the Middle East and the Gulf, or in countries which adopt religion-based law, such as Brunei and countries in the Middle East and the Gulf, do you think residents in-training would ever get enough exposure to such surgeries? The trainers themselves, may not have performed those surgeries, let alone the trainees! Therefore, it is very important to note that plastic surgery is not identical to cosmetic/aesthetic surgery, and even a board-certified plastic surgeon may not be equipped with the skill and expertise to perform a particular cosmetic/aesthetic surgery!

WARNING: This is a medical blog which contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!! You do not visit a medical library, browse anatomy or medical examination text books which feature a lot of nudity, then complain to the library about it, do you? Do you browse a cosmetic surgery text book, then threaten to sue the author and publisher of the text book because it is against your belief? Do you raid cosmetic surgery clinics in Korea to demand financial compensation, because the surgeons perform cosmetic surgeries, which is against your belief? Stay away from this blog, if you are such person. We have warned you!!!!!!

Between 2007 and 2016, Dr Arthur Tjandra has performed approximately 10,000 liposuction and autologous fat transfer procedures. Well, anyone can brag about having performed thousands or tens of thousands of surgeries, but Dr Arthur Tjandra also provides proofs of his works! He has published approximately 5,000 pictures on Elixir de Vie official website from 2008 to 2011, and 3,000 videos on Elixir de Vie YouTube channel from 2013 to 2016. He stopped publishing pictures in 2011 as he was overwhelmed with too many pictures. But, when he realized that many of the pre- and post-operative photos published by many surgeons and clinics were heavily-edited (Photoshopped), he decided to fight this rampant practice by publishing raw, unedited videos of his surgeries! Unfortunately, YouTube has removed many of his videos. In early December 2016, YouTube terminated his YouTube channel. Although it was reinstated a few days after he lodged an appeal, many of his videos were gone! This blog was launched in the same month, when he realized that YouTube had deleted many of his videos without any valid reason, among those were videos showing result of calves and neck liposuction! If this happened in Saudi, where women are not allowed to expose any part of their bodies except their eyes, we could understand. But, this is happening in America! The last time we checked, YouTube was an American company! Unless, of course, this fact has changed!

WARNING: This is a medical blog which contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!! You do not visit a medical library, browse anatomy or medical examination text books which feature a lot of nudity, then complain to the library about it, do you? Do you browse a cosmetic surgery text book, then threaten to sue the author and publisher of the text book because it is against your belief? Do you raid cosmetic surgery clinics in Korea to demand financial compensation, because the surgeons perform cosmetic surgeries, which is against your belief? Stay away from this blog, if you are such person. We have warned you!!!!!!

To learn about Dr Arthur Tjandra‘s academic qualifications, you may visit our official website. But, who really cares about paper qualifications? Academic qualifications are important when one is fresh out of school trying to look for a job. In something which depends largely on how “hands-on” a surgeon is, such as liposuction surgery, it is experience and expertise, not paper qualifications which is the determining factor of the result of a surgery! We have already explained above how a plastic surgeon who has the “official stamp” on his diploma which enables him to address himself as a plastic surgeon, may have performed less than a handful liposuction surgeries, throughout his entire residency training! Most only get to assist or watch, because how many full-fee-paying patients would actually sign a consent to allow the trainee surgeons to be their attending surgeons? Perhaps, in the future, when insurers decide to pay for and Obamacare also covers for liposuction expenses. But, hey, Donald Trump is the president now, and Obamacare is set to go down the drain!

WARNING: This is a medical blog which contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!! You do not visit a medical library, browse anatomy or medical examination text books which feature a lot of nudity, then complain to the library about it, do you? Do you browse a cosmetic surgery text book, then threaten to sue the author and publisher of the text book because it is against your belief? Do you raid cosmetic surgery clinics in Korea to demand financial compensation, because the surgeons perform cosmetic surgeries, which is against your belief? Stay away from this blog, if you are such person. We have warned you!!!!!!

Dr Arthur Tjandra of Elixir de Vie is world-renowned for his expertise and experience in dealing with anything to do with fat! He is the expert and one of the most experienced surgeons in liposuction surgeries and autologous fat grafting in the world. He performs liposuction on any parts of body, which no one has ever thought possible, such as forearms, calves and ankles! You may watch this on our YouTube channel, provided YouTube has not already removed those videos. Dr Arthur Tjandra also injects fat into areas which no one ever thought possible, such as the vagina and penis! He has performed close to 10,000 liposuction surgeries from mid-2000 till end of 2016. During the same period of time, he has performed more than 2,000 autologous fat transfer breasts and/or buttocks augmentation procedures. And this is the catch: he performs liposuction with a mere cheap plastic syringe which costs less than USD 5! Again, which no one actually believes is possible! He has campaigned for the use of syringe for liposuction since mid-2000s. He explains why he thinks syringe is the best and safest way to perform a liposuction surgery on his website: Liposuction Case Studies. He provides evidence for his statement. He was lucky enough to learn this almost extinct and obsolete method of performing liposuction, which was last taught in plastic surgery residency training in the early to mid-1990s, from his mentors: Prof Fong Poh Him, who was the first surgeon to perform liposuction in Singapore, and Dr Pierre Fournier, the father of modern liposuction. No one took him seriously when he went around the world telling and showing people how safe and effective syringe liposuction was. He was seen as a big joke. He was seen as a loser. His colleagues and friends even predicted that his private practice would not last more than a year or two if he did not embrace the latest technology and purchase the latest devices. It was Prof Fong Poh Him who convinced Dr Arthur Tjandra to trust his own surgical skill and stick to the obsolete, primitive, but extremely safe and effective way of performing liposuction: a plastic syringe! Without Prof Fong Poh Him‘s encouragement, he would have joined the rest of the pack.

WARNING: This is a medical blog which contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!! You do not visit a medical library, browse anatomy or medical examination text books which feature a lot of nudity, then complain to the library about it, do you? Do you browse a cosmetic surgery text book, then threaten to sue the author and publisher of the text book because it is against your belief? Do you raid cosmetic surgery clinics in Korea to demand financial compensation, because the surgeons perform cosmetic surgeries, which is against your belief? Stay away from this blog, if you are such person. We have warned you!!!!!!

When Dr Arthur Tjandra finally published more than 5000 photographs of before and after liposuction surgeries on his website in early 2010s, followed by another more than 2000 videos on his YouTube channel by mid-2010s, he took the world by surprise! A lot of people suddenly feel threatened by the existence of his photos, but especially the videos! It is the first time in the world, a surgeon is being so transparent! Dr Arthur Tjandra of Elixir de Vie takes videos during every single stage of his surgeries, from the moment he does pre-operative marking, until the completion of the surgeries, as well as follow-up videos taken months and years later, when patients return for other procedures or subsequent surgeries. All his patients who sign videographic consent get a set of videos taken before, during and after their surgeries! As a matter of fact, when we just started our private practice more than 8 years ago, 2 sets of photographs and later on, videos, were taken. One set was taken with patient’s own camera or recording device, and another set was taken with Dr Arthur’s camera or device. This shows just how transparent and confident Dr Arthur Tjandra is, with his works! An act which threatens the survival of many surgeons, as well as liposuction devices manufacturers. An act which prompts these people to lobby YouTube to shut down our YouTube channel in early December 2016, after repeatedly deleting our videos over the 3 year period we have been publishing case studies on our YouTube channel, from 2013 to 2016. His personal Facebook account was closed down by Facebook 2 months earlier, after one of his 300 “friends” repeatedly reported his breasts augmentation pictures, which could be viewed only by “friends”, as pornography. This is obviously a very personal attack! After we appealed, Elixir de Vie YouTube channel was reinstated. Facebook rejected Dr Arthur’s appeal. However, we found that most of our videos have been deleted by YouTube. That is why we have started afresh with this new blog. We cannot, however, re-publish all the cases we have previously published on our YouTube channel on this blog. There are a few thousand videos which we have published on our YouTube channel for Case 1 to Case 398. One case number represents one particular patient. Hence one case number may consist of multiple videos of multiple surgeries. We are starting with Case 399 on this new blog. Besides our own blog, many of our patients who are not bloggers, have also created personal blogs to blog about their journey at Elixir de Vie with Dr Arthur Tjandra. Those who find creating personal blogs too cumbersome, post their experience on another platform where real patients share their plastic surgery journey: Realself.com.

WARNING: This is a medical blog which contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!! You do not visit a medical library, browse anatomy or medical examination text books which feature a lot of nudity, then complain to the library about it, do you? Do you browse a cosmetic surgery text book, then threaten to sue the author and publisher of the text book because it is against your belief? Do you raid cosmetic surgery clinics in Korea to demand financial compensation, because the surgeons perform cosmetic surgeries, which is against your belief? Stay away from this blog, if you are such person. We have warned you!!!!!!

Why would “people” lobby YouTube to remove our videos and even close our channel, you may ask, while many other similar videos published by other surgeons, and even outwardly pornographic videos are allowed on YouTube?  Once you click on such video, there will be suggestions of hundreds of other similar videos. As you keep clicking on, you will realize there are lots of porn videos on YouTube! So, how could YouTube label our calves liposuction, double chin/neck liposuction or even autologous fat grafting facial rejuvenation videos as pornography, then remove all of them, while obviously pornographic videos are allowed to stay? Our videos of breasts augmentation are being labelled as pornography and removed, while videos of men sucking women’s breasts are allowed. We, too, are quite perplexed why we are the only one being targeted. After doing some research, we finally realize that we are the only cosmetic surgery clinic in the whole world which publishes raw, unedited videos of our surgeries in an extremely transparent manner, from the beginning till the end; from the moment Dr Arthur Tjandra performs marking, until he finishes his surgeries. We also show the immediate results of our surgeries in video format, with follow-up videos taken the next day after surgeries, and months, and years later when patients return to us for subsequent surgeries. No other surgeon in the entire world does what we do! Most surgeons show results of their surgeries in picture format, not videos. Even when they show videos and publish on YouTube, one realizes that the results are still shown as slideshows and pictures, not real patients being video-taped! Now we realize what the real problem is! What we have been doing has caused uneasiness to surgeons who have been showing heavily-edited/Photoshopped results of their surgeries and unable to show videos instead of photos. Dr Arthur Tjandra breaks the long-held tradition and raises patients’ awareness of rampant photo-editing in the cosmetic surgery industry and has done something which no other surgeon in the world has ever done before, by posting raw, unedited videos of his surgeries! Dr Arthur Tjandra has raised the bar too high for other surgeons to follow. Obviously, there has been a lot of lobbying going on, which tries to persuade YouTube to shut down our channel, because our channel has garnered too many viewership and subscribers. As of end of December 2016, our YouTube channel has garnered close to 60 million views with close to 89,000 subscribers. If all prospective patients expect their surgeons to show results of their surgeries in video format, a lot of surgeons may go out of business! On the other hand, when one purchases one of those high-end liposuction devices, one will also be presented with a set of marketing materials, which include photos and videos! It is probably why some surgeons who have no photograph and video of their own works to show to prospective patients, would rather purchase a device, because it usually comes with the rights of using photos and videos provided by the device manufacturer. That is why a patient may notice identical photographs and videos being shown in two or more clinics!

WARNING: This is a medical blog which contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!! You do not visit a medical library, browse anatomy or medical examination text books which feature a lot of nudity, then complain to the library about it, do you? Do you browse a cosmetic surgery text book, then threaten to sue the author and publisher of the text book because it is against your belief? Do you raid cosmetic surgery clinics in Korea to demand financial compensation, because the surgeons perform cosmetic surgeries, which is against your belief? Stay away from this blog, if you are such person. We have warned you!!!!!!

Secondly, we suspect that YouTube decided to delete many of our videos, including the ones which obviously contain no nudity at all, such as facial fat grafting, neck liposuction and calves/ankles liposuction, because they do not want patients and the general public to learn that liposuction performed with a cheap 5-dollar syringe can achieve much better result than, and can even be used to correct liposuction result performed with expensive liposuction devices which cost hundreds of thousand of dollars! Go to YouTube and search for: Elixir de Vie revision liposuction, if you were lucky and YouTube had not already removed those videos, you would be able to watch case studies of patients who had gone to other surgeons for liposuction, all of them performed with the latest devices, before visiting Dr Arthur Tjandra for revision liposuction using just a plastic syringe! After all, YouTube does not want you to know that ultimately, the result of a surgery, especially a cosmetic surgery like liposuction, does not rely on machines, but the skill and experience of the surgeon! Obviously some people may have lobbied YouTube to shut us down to prevent us from disseminating this information and make the public more educated! After all, liposuction surgery is the most popular plastic surgery in the United States and in the world, an industry which is worth billions of dollars in the United States alone! An industry which many business people and liposuction devices manufacturers cannot afford to miss out! Look around you and read advertisements on liposuction. Surgeons offering this service and manufacturers selling liposuction devices all promise fantastic results based on the technology their machines work on. They emphasize on technology while advertising their services using the brands of liposuction devices they purchase rather than their own skill. On the other hand, Dr Arthur Tjandra of Elixir de Vie, has been telling patients otherwise. He tells patients that he still sticks to the old, primitive, obsolete method of performing liposuction using merely a disposable plastic syringe! Dr Arthur Tjandra has been advising patients that result of liposuction surgeries does not rely on what machines a surgeon use, but rather, on the skill, expertise and experience of the surgeon! A skilled and experienced surgeon can produce good result whether he uses a 5-dollar plastic syringe or a 100-grand device. Dr Arthur Tjandra of Elixir de Vie has been promoting the use of cheap plastic syringes to perform liposuction since the mid-2000s because of the extremely safe profile. He has performed close to 10,000 liposuction surgeries with a mere plastic syringe in the last 10 years. He backs his claims by publishing thousands of case studies and results of syringe liposuction on his website, YouTube channel, and now, this blog. A picture may speak a thousand words, but a video speaks a million words! With technology, picture can be doctored, but it is harder to edit videos, especially if you have thousands of videos, with duration of more than 5 minutes each, to edit! This is why our videos are being targeted and our channel was being suspended. And this is also why we have picked ourselves up and started with a brand new blog, with our very own URL, ElixirdeVie.com. Because we believe patients and consumers have the rights to learn the ultimate truth, and make informed decision based on non-biased information and truth, not information fed by the industry. An industry which is worth billions of dollars! After all, how many 5-dollar syringes one has to sell to reap the same revenue as selling one single 100-grand device?

Disclaimer: Elixir de Vie sama sekali tidak menerima pasien Warga Negara Indonesia. Warga Negara Indonesia tidak dibenarkan mengunjungi situs ini. Apabila Anda adalah seorang Warga Negara Indonesia, harap tinggalkan situs ini sekarang juga!

The bottom line is: one is not allowed to make oneself more beautiful or better-looking than what one is originally born with, either surgically or non-surgically. In view of recent developments in Indonesia, Elixir de Vie Indonesia has ceased its operation since 1 January 2017, and has been re-branded as Elixir de Vie Singapore. All inquiries should now be directed to Elixir de Vie Singapore. Just like its predecessor, Elixir de Vie Singapore does NOT offer its services to Indonesians. We respect Indonesians and their belief. Therefore, we strictly do not offer our services to Indonesians, and respectfully request all Indonesians to leave this site now!

WARNING: This is a medical blog which contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!! You do not visit a medical library, browse anatomy or medical examination text books which feature a lot of nudity, then complain to the library about it, do you? Do you browse a cosmetic surgery text book, then threaten to sue the author and publisher of the text book because it is against your belief? Do you raid cosmetic surgery clinics in Korea to demand financial compensation, because the surgeons perform cosmetic surgeries, which is against your belief? Stay away from this blog, if you are such person. We have warned you!!!!!!

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Namo Amituofo