Patient No. 558

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This Chinese Singaporean woman in her early-40s came to Dr Arthur Tjandra of Elixir de Vie for thighs liposuction and autologous fat transfer facial rejuvenation, after spending a fortune on Cool-Sculpting (fat freezing) procedures in Singapore.

The worst thing was that she did not reveal this important information until Video 4 below, when Dr Arthur Tjandra of Elixir de Vie was about to start performing liposuction. Apparently, she had gone for 6 sessions of Cool-Sculpting in Singapore, but she could not see any result at all. She had paid SGD 5,000 for a package of 10 sessions of Cool-Sculpting procedure. She decided to forego the leftover 4 sessions, and flew to Medan to get proper surgery done. Finally, she came to her senses!

It is human’s nature to freak out at the idea of surgery, and always wants to try non-surgical procedures first. However, one must always use one’s wisdom to ask important questions. If one has more than 2 liters of fat in one’s thighs, as in the case in this woman, what would happen to the necrotic (dead) fat left behind underneath the skin, assuming that during each session 200 cc of fat could be frozen to death? The doctor who persuaded her to buy 10 sessions of Cool-Sculpting had assured her that 10 sessions would be able to take care of all the more than 2 liters of fat in her thighs. So, the target should be to freeze at least 200 cc of fat to death during each session. But, when you leave necrotic fat in large amount, 200 cc, underneath the skin, instead of aspirating it out with liposuction, what would happen to that fat? Is your body able to reabsorb such large amount of fat back into your system? Assuming it could, where are waste products brought to, to be processed? It is the liver. So, when you drown your liver in 200 cc of fat each time, with a total of 2 liters of fat over 10 sessions, would you not die of fatty liver? The truth is one’s body would not be able to reabsorb 200 cc of necrotic fat back into the system!

Another important question is could one sculpt one’s body using fat freezing method, when the result of fat freezing is not immediately visible like liposuction? So, you apply freezing temperature on the fat, hoping that the fat would die. The fat may or may not die. And you would not know until weeks later. So, in some areas the fat dies, but in other areas the fat does not die. Would you not end up with bumpy thighs? Luckily, in this patient, the treatments did not work at all, according to her testimony. In which case, she still had smooth thighs.

Fat-freezing may work on small pocket of fat, targeting tens of cc of fat, but definitely not on entire length and circumference of thighs, with the target of removing more than 2 liters of fat! The doctor who persuaded her to buy 10 sessions of Cool-Sculpting treatments was not being very honest.


After 6 sessions of fat freezing on thighs by another doctor, and immediately after thighs liposuction by Dr Arthur Tjandra of Elixir de Vie
After 6 sessions of fat freezing on thighs by another doctor, and immediately after thighs liposuction by Dr Arthur Tjandra of Elixir de Vie
Before and immediately after autologous fat transfer facial rejuvenation by Dr Arthur Tjandra of Elixir de Vie
Right face: before fat injection, left face: after fat transfer by Dr Arthur Tjandra of Elixir de Vie

Video 1: Result of fat-freezing procedures by another doctor

Video 2: Pre-operative assessment of face

Video 3: Pre-operative marking of thighs

Video 4: Awake syringe liposuction under local anesthesia by Dr Arthur Tjandra

Video 5: Completion of fat injection into mid-face. Comparison between right and left sides, before and after fat transfer

Video 6: Completion of fat transfer into mid-face

Video 7: Patient is ecstatic seeing the result of her left thigh liposuction, while comparing it to her right thigh

Video 8: Completion of left thigh liposuction. Comparison between right and left thighs, after fat freezing, and after liposuction

Video 9: Patient singing to Dr Arthur Tjandra during surgery, in appreciation of his good work

Video 10: Completion of thighs liposuction. Transformation for A-shaped granny butt to O-shaped bubble buttocks

Liposuction Case Studies @ Elixir de Vie

Before and After Surgery Photos @ Elixir de Vie

Whole Body Transformation with Liposuction and Fat Transfer Breasts and Buttocks Augmentation

Elixir de Vie Patients’ Blogs

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