Patient No. 317
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This 18-year-old Chinese Singaporean student stood at 170 cm and weighed only 45 kg. She was completely flat-chested and would like to get fat transfer breasts augmentation done. However, all 3 plastic surgeons whom she had seen in Singapore turned her down and advised her that she did not have any fat to harvest for fat transfer to breasts. They offered her breast implants, but she was not keen due to information she had read about “implant sickness”. When she finally came to Dr Arthur Tjandra of Elixir de Vie, not only did Dr Arthur Tjandra advise her that she had enough fat for fat transfer breasts augmentation, but Dr Arthur Tjandra also advised her that she had enough fat for at least 3 sessions of autologous fat grafting breasts augmentation! She eventually had 2 sessions and did not return for a third session as she was very happy with the result after just 2 sessions.
One lesson to learn from this, is that it is easy to aspirate fat from someone who is overweight or obese. You will definitely get fat out anywhere you poke your cannula. There is also an extremely wide window for error. However, it is extremely difficult to aspirate fat from someone who is already extremely skinny, just like in this patient. There is also no room for the slightest error at all, because even the slightest over- or under-suction will definitely show up on the skin as dents, hills and unevenness. It requires a skilled and experienced surgeon to perform liposuction on slim patients.
As she had “spoon face” (which sounds much nicer than “bulldog face”) due to underbite, Dr Arthur Tjandra of Elixir de Vie also injected fat into her mid-face for aesthetic correction. She would still need to see a maxillofacial surgeon to address her underbite.
First visit: Saddle bags liposuction and autologous fat grafting breasts augmentation.
Second visit (3 months later): Anterior abdominal liposuction, autologous fat grafting breasts augmentation, and fat injection to mid-face.