WARNING: This is a medical blog intended ONLY for medical professionals!!! This blog 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!!! 


Is it possible for a 3-dimensional arms liposuction surgery result to be considered disastrous by a patient who gets it done, yet labelled as Masterpiece by the surgeon who performs it? Well, this case is one of those extremely rare cases. This Chinese Singaporean stewardess who was in her mid-20s when she visited Dr Arthur Tjandra for arms liposuction in 2016, apparently thinks so. She posted a bad review about her disastrous arms liposuction result on, 4 years later, in 2020. She visited Dr Arthur Tjandra in 2016 for arms liposuction and autologous fat grafting breasts augmentation. Below is her complete video case study.

From 2008 to 2020, Dr Arthur Tjandra of Elixir de Vie performed a total of 3,008 cases of arms liposuction. Out of those 3,008 cases, 3 patients were unhappy with the results because they believed Dr Arthur Tjandra of Elixir de Vie has created “dents” on their arms! Two of them, Patient No. 342 and 383 also thought their arms became too skinny. They would have preferred to have more fat in their arms. Ironically, Dr Arthur Tjandra labelled the results of these 3 patients as his “Masterpieces”!

We have published the case studies of the other 2 unhappy patients on this Vlog:

Patient No. 383: Shit, Arthur Tjandra! Look at what you have done to my arms!

Patient No. 481: You call the result of this arms liposuction your Masterpiece? FCUK You, Arthur Tjandra! I want a refund!

Video 1: Pre-operative marking of the arms

Video 2: Pre-operative marking of the breasts

Video 3: A slim young woman with granny buttocks

Video 4: Syringe liposuction under local anesthesia by Dr Arthur Tjandra

Video 5: Completion of left arm liposuction. Comparison between right and left arms, before and after liposuction

Video 6: Completion of left arm liposuction and fat injection to right breast

Video 7: Completion of arms liposuction

Video 8: Completion of fat injection to breasts and arms liposuction

Video 9: Result of arms liposuction, the next day: A Masterpiece!

Video 10: Result of fat injection to breasts, the next day

So, what do you think of the result of her arms liposuction? Unfortunately, she did not like the result, although Dr Arthur Tjandra loved it and labelled it as yet another of his Masterpiece. She complained about how skinny her arms became, and how Dr Arthur Tjandra had over-aspirated and created “dents”. Her arms became only half the original size 1 year post-op when Dr Arthur Tjandra reviewed her in Singapore. She wanted her fat back! But, Dr Arthur Tjandra thought that most patients would want all their fat to be removed during liposuction, so he removed all her arms fat. Apparently, she only told Dr Arthur Tjandra that she would have preferred to have fatter arms, rather than skinny arms, 1 year after the surgery, not before surgery. The “dents” she complained about, were actually deltoid grooves. In a fit person, without thick layer of fat, major arms muscles, especially the deltoids, will show through the skin, because there is no more fat hiding the muscles. In a fat or skinny fat person (slim with thick layer of fat, typical of Asian, especially Chinese/Korean/Japanese women), the muscles are hidden by a thick layer of fat, hence cannot be seen. Asian women are mostly skinny fat because instead of exercising to stay slim, they refrain from eating, unlike Caucasians and Blacks, who stay slim by exercising. Therefore in fit and slim Caucasians and Blacks, you can always see the definition of their muscles.

Unfortunately, although she was given an option to choose between high-definition and non-high-definition liposuction surgery during pre-op consultation, she chose high-definition. To read the difference between these two, please read another post which link has been posted on the main page of this Vlog: What is tumescent, traditional, 3D, 4D, 360, high-definition and syringe liposuction? Are they all the same?

She hated the result so much, that she posted a bad 1-star rating review on, 4 years after her surgery: Bad arms lipo – Arthur Tjandra.

bad-arms-lipo-3 is a plastic surgery review websites where patients post their reviews. It is also a website where makes money from plastic surgeons from their membership fees. A plastic surgeon who pays membership fee can offer free advice to prospective patients or post-surgical patients who are not happy with their results when they post questions or bad reviews on other surgeons. This enables plastic surgeons to “solicit” for business. A fee-paying surgeon also has his name listed on the website, hence prospective patients can easily search for a fee-paying surgeon’s name and see all his patients’ reviews being linked to his name. Dr Arthur Tjandra does not believe in paying such membership fee, hence although there are at least 3 dozens of his patients who have posted their reviews on, you will not be able to search for these reviews by searching for Dr Arthur Tjandra’s name on The only way to search for these reviews is by using Google and search for “arthur tjandra“.

Anyway, although she posted pictures of the her arms liposuction result, accusing Dr Arthur Tjandra of doing a bad job for over-aspirating and creating “dents” on her arms, and asked for advice from other plastic surgeons about what could be done to correct those dents, she received no reply! Dr Arthur Tjandra purposely waited 4 months before writing up this case study, in order to wait for responses from those American plastic surgeons (99.99% of members are American surgeons), but not one single surgeon offered any advice to her. Surgeons normally jump at the opportunity to comment on surgical complications performed by their competitors, but none responded. Dr Arthur Tjandra was waiting to see if any of those surgeons would actually agree with her that her deltoid grooves were complication of liposuction. But, fortunately, there was not one single surgeon who was so stupid.

These are the only 2 pictures she posted on

Strangely, she did not even post pre-operative pictures of her arms for people to compare with. If you complain about bad result, you should at least post some pictures of how your arms appeared like before liposuction! Neither did she post pictures of the entire length of her arms when they are hanging by the side her body. She just focused on her deltoid grooves, which she called “dents”, with her hand placed on her waist! Unless a person has significant layer of fat, one will be able to see her deltoid definition when she places her hands on her waist! Try it! If you cannot see yours, it means you are FAT! And you need liposuction!

female toned arms 1

The pictures she posted on also reveal that her elbows were being placed nearer the camera in relation to her shoulders. Any object placed nearer a camera appears larger than the one which is placed further away from camera. This is basic optics. If you put a pencil and skew it to make one end nearer the camera and the other end further away from camera, the pencil will appear thicker on one end compared to the other end.

Take a look again at the video which was taken half-way through her arms liposuction surgery 4 years ago, which shows the difference between pre- and post-liposuction arms. There was no “dent” on her right arm before liposuction. It was so smooth and round. There is a significant “dent” on her left arm after liposuction. So, which one is uglier, with or without the so-called “dent”??? If she liked round and smooth arms so much, why did she even come for liposuction in the first place???

For those who wish to come to Dr Arthur Tjandra for liposuction, please go through all the case studies relevant to your surgery on this Vlog. If she had watched arms liposuction case studies videos published here, especially the ones labelled as “Masterpiece”, she would have taken note what the end result would be like when she opted for high-definition liposuction. If you did not like the results which Dr Arthur Tjandra labelled as Masterpiece, you should not have come to him for liposuction! After all, those are his best results, but you do not like them! As a matter of fact, for all the arms liposuction results which Dr Arthur Tjandra marked as “Masterpiece”, the muscles definition of the arms is even more pronounced than hers. As an athlete, Dr Arthur Tjandra sees muscles definition as a sign of fitness and health. Unfortunately, in Far East Asia, especially among Chinese, Korean and Japanese women, muscles are considered ugly. That is why in order to stay slim, women in Far East Asia refrain from exercising because working out may build muscles. To keep slim, they refrain from eating, instead, by drastically cutting down calories intake or by taking diet pills which curb their appetite. Amphetamine and its derivatives are very popular and widely as well as easily available in Asia. The fact that Far East Asian women hate muscles is also why procedures to remove calves muscles and nerve ablation procedure to destroy the nerve innervating calves muscles, resulting in muscles paralysis and eventual shrinking of the muscles, are very popular in Japan and South Korea.

Most women think that they do not have muscles. Most women think that only men have muscles. Unfortunately, or fortunately, women also have muscles. If the layer of fat above your muscles is thin due to exercise or liposuction, your muscles will show through. Therefore, if you do not like muscles, but still want to appear slim, perhaps you could try what Far East Asian women (Chinese, Korean and Japanese) have been doing: refrain from working out and go on extremely strict diet, or even starvation. It may be hard. But if you take diet pills to curb your appetite, it will be much easier. By not working out at all, not only can you prevent muscle hypertrophy, but muscles which are not used for long period of time, eventually shrink in size. When your muscles shrink, and your whole body consist of mostly fat, with shrinking muscles, you will have smooth, roundish body, with no definition of muscles at all! Try that! But, frankly, Dr Arthur Tjandra thinks that it is such a stupid idea. A stupid idea which is extremely popular among Far East Asian women, unfortunately!

Human Anatomy - Female Body

Look at the pictures of these 3 fitness models below. Their entire bodies are covered with “dents”! If you do not like such “dents”, it is best not to get liposuction done. After all, if you want to leave fat behind to cover those “dents”, what is the point of getting liposuction done in the first place? By the way, to those who really think those are dents, those are not “dents”! Those are normal definition of muscles! Most men know anatomy, but, unfortunately most women do not. Many women believe they do not have muscles, only men do.

Deltoid grooves and separation between biceps and triceps are not the only “dents” our patients have complained about. Some patients even complained about the “dents” on their lower inner thighs and grooves separating their quadriceps from hamstrings on their outer thighs after liposuction. Take a look at the thighs of the first model below. Do you see the “dent” above her left knee on her left inner thigh, and the “long dent” along the lateral aspect of her right thigh? If you seriously think that she has gone for liposuction and those “dents” on her lower inner thighs and “grooves” separating her quads from hamstrings, are NOT normal, and possibly result from complication of liposuction, then liposuction is NOT for you! You will drive your surgeon crazy when he does a good job for you and calls you her masterpiece, but you complain to him about “dents” and even post bad review on the internet!!! If you still want to get liposuction done, it is best that you look for a mediocre surgeon who does not remove much fat, especially superficial fat. He will charge a lot of money but hardly removes any fat, leaving you with fat, smooth and round body with no “dent”! Because all the “dents” are covered by fat!

Workout to tone shoulders and legs
Are you as fit as you should be for your age? This checklist might surprise you
Shoulder, Arm, Joint, Muscle, Standing, Fitness professional, Sportswear, Abdomen, Physical fitness, Undergarment,

Finally, take a look at Dr Arthur Tjandra’s picture below:


What do you think of the “dents” all over his body? He has got “dents” everywhere! His arms are not even and smooth. Some parts are bigger than the others. The upper parts are big, then they curve in and there are these horrible dents! After that, they curve out again! How come his arms are not straight and smooth? How come there are so many hills and valleys? What are those? There are a lot of ugly dents and grooves. So are his chest and his abdomen. What are all those oblique dents by the side of his abdomen? Are those all complications of liposuction? Has he performed liposuction on himself and over-aspirated? Perhaps his mentor did it for him? What do you think?

While you are thinking for the answers, take a look at the following pictures of 2 world-class wrestlers:


How come their arms are so smooth and straight and not ugly like Dr Arthur Tjandra’s? They have no dents, hills and valleys like Dr Arthur Tjandra’s arms? The three of them have big arms, just like Dr Arthur Tjandra’s arms, but their arms are not so ugly like his, which are dented all over. Why is that so? What happens to Dr Arthur Tjandra’s arms? Did he have an accident? Were they bitten off by some wild animals in the forests? Was it a complication of liposuction? Scroll down for the answer……




















It is because Dr Arthur Tjandra’s body fat percentage was only 8% when that picture was taken! With 8% body fat percentage, it means that there was hardly any fat between his skin and muscles. As there was no fat hiding his muscles, every single strand and definition of his muscles show through his skin! This is what body builders call: DEFINITION!

On the other hand, the 3 wrestlers, although big and muscular, may have body fat percentage of 20%, hence the fat layer between their muscles and skin, hide all their muscles definition!

Therefore, if you want slim, skinny arms and legs, without any muscle definition at all, the answer is not exercise or liposuction. When you exercise or get liposuction done, you will reduce the thickness of the fat layer between your skin and muscles. When the fat layer thins down, your muscles definition will show through the skin. If you want to be slim and skinny, yet appear smooth and round, then you should just starve yourself. You must refrain from exercising, because exercising burns fat and builds muscles! You may try one of those fad diets, eating and drinking nothing but cucumber juice or protein shake every day, and take diet pills which curb your appetite. It all boils down to your calories intake versus output. If you do not exercise, you just need to ensure that you eat less than what you burn off!

3 Comments on “Patient No. 342: A disastrous 3-D arms liposuction result?

  1. Pingback: Patient No. 383: Shit, Arthur Tjandra! Look at what you have done to my arms! – L'Elixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

  2. Pingback: Patient No. 536, Session 1: Arms liposuction on a socialite and former model - L’Élixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

Leave a Reply

%d bloggers like this: