Do not forget to go through case studies which are published under “Complaints” or “Unhappy Patients” categories. In the last 2 decades of his surgical practice, Dr Arthur Tjandra has had received 3 complaints. All 3 complaints have been published as case studies. One would have thought that those case studies published under “Complaints” or “Unhappy Patients” categories were Dr Arthur Tjandra‘s worst works! Ironically, they were actually some of Dr Arthur Tjandra‘s best works!

The main reason why these patients were unhappy with the result of their liposuction was that there was a mismatch between what they and Dr Arthur Tjandra considered as beautiful. These patients did not like the appearance of their muscles and would like to hide them underneath a layer of fat.

Meanwhile Dr Arthur Tjandra considers a body with visible muscles as a sign of fitness and health and that is what defines beauty. Dr Arthur Tjandra performs high-definition liposculpting which leaves very thin layer of fat underneath the skin; hence the outline of muscles can show through the skin as the result. Patients who do not wish to have their muscle definitions showing through their skin can opt for less fat to be removed, intentionally leaving a significant thickness of fat to hide their muscles. Such liposuction is so much easier to perform than a high-definition liposuction which aims to allow muscles to show through the skin. Unfortunately, these 3 patients did not communicate their wishes to have their muscles hidden by a thick layer of fat during pre-operative consultation.

Therefore, by going through what his patients complained about, you can learn what Dr Arthur Tjandra‘s perception of beauty is. Like they said, beauty is in the eye of the beholder. Hence, if you do not see eye-to-eye with Dr Arthur Tjandra in what defines beauty, it is best not to come to him for surgery. As what he considers as his masterpiece, may turn out to be your worst nightmare! The 2 bad reviews about Dr Arthur Tjandra on RealSelf.com below, illustrate our point. One of them is a fake review, though.

  1. Bad arms lipo – Arthur Tjandra – Review – RealSelf
  2. Abdominal Lipo Disaster – Arthur Tjandra – Review – RealSelf

It is so strange that there are numerous good reviews posted by our patients on RealSelf.com, but when you search for “Dr. Arthur Tjandra” on Google, you will be shown only these 2 bad reviews, which are ranked very high on the first page, but not the good ones. Similarly, if you visit RealSelf.Com and search for “Dr. Arthur Tjandra”, you would not be able to find any of those good reviews. Only the 2 bad ones below are shown. What does this tell you? Luckily, you are still able to read good reviews about Dr Arthur Tjandra posted on RealSelf.Com by following this special link, before RealSelf.Com removes them: Reviews of Dr Arthur Tjandra on RealSelf.Com.

The issue stems from different perception of beauty between Dr Arthur Tjandra and his patients. So far, he has had 3 complaints about the results of his arms liposuction, which he actually loves and labels as his masterpieces in his video case studies! One of those patients posted her negative review on RealSelf.com. As an athlete, Dr Arthur Tjandra loves muscle definitions. Within East Asian communities (Chinese, Japanese, Korean) however, muscle definitions are frowned upon, and skinny fat is considered beautiful, instead. Unfortunately, Dr Arthur Tjandra practices in South East Asia, and his patients are predominantly ethnic Chinese women, who may find muscle definitions unappealing. If you do not like muscle definitions and would still like to engage Dr Arthur Tjandra for your liposuction surgery, please state it clearly during pre-operative consultation. Otherwise, Dr Arthur Tjandra performs high-definition lipo-sculpting by default! The surgery fees, however, are the same, whether or not high-definition lipo-sculpting is being performed. It is actually much easier to perform liposuction only, without sculpting muscle definitions.

Dr Arthur Tjandra back in 2008, when he was moonlighting as an underwear model.
Before arms, thighs and calves liposuction by Dr Arthur Tjandra of Elixir de Vie.After 3D high-definition arms liposuction by Dr Arthur Tjandra of Elixir de Vie.
Before and after whole body high-definition liposculpting by Dr Arthur Tjandra of Elixir de Vie.
Before 3D high-definition arms liposuction by Dr Arthur Tjandra of Elixir de Vie.3D high-definition arms liposuction by Dr Arthur Tjandra of Elixir de Vie.
Extreme high-precision, high-definition arms lipo-sculpting on a Caucasian patient by Dr Arthur Tjandra of Elixir de Vie. Such high-precision, high-definition muscle sculpting is only available upon request in order to avoid further complaints.
3D high-definition arms liposuction by Dr Arthur Tjandra of Elixir de Vie.
3D high-definition arms liposuction on a Caucasian patient by Dr Arthur Tjandra of Elixir de Vie, and she loves it! Imagine if it was performed on an Asian woman! It would most likely end up as another negative review on RealSelf.com!

For those who are uninitiated, liposuction is different from liposculpting. In a liposuction surgery procedure, a surgeon simply aspirates fat. In a liposculpting procedure, however, besides aspirating fat out, a surgeon actually sculpts the body to allow muscle definitions to show. This is an advanced liposuction technique which only the experts and very experienced surgeons who have performed thousands of liposuction surgeries, can perform. In order to be able to sculpt, a surgeon needs to know the human anatomy in great precision. There are many courses which teach human anatomy, especially female human anatomy, to liposuction surgeons, because the truth is, even surgeons who offer liposuction surgeries may not know human anatomy well, especially the musculoskeletal system! That is the reason you can find so many courses which teach muscle definitions to liposuction surgeons, such as this one:

Disclaimer: This is not an endorsement for ECAM’s liposuction courses. Neither has Dr Arthur Tjandra enrolled in any of ECAM’s courses.
Disclaimer: This is not an endorsement for ECAM’s liposuction courses. Neither has Dr Arthur Tjandra enrolled in any of ECAM’s courses.

Therefore, go through as many case studies as you could on this Vlog, before making up your mind. At the same time, shop elsewhere. Ultimately, in order to avoid making a mistake which you may regret for the rest of your life, look for someone whose works you truly love. Go through all his works, preferably in video format, as pictures can be easily Photoshopped! Look for a surgeon who defines beauty the way you want it. Look for a surgeon who sees beauty the way you see it! If you love skinny fat, you may want to avoid Dr Arthur Tjandra altogether, because as an athlete, Dr Arthur Tjandra hates skinny fat! Remember, unless you specifically request to have a significant layer of fat retained in order to hide your muscles, Dr Arthur Tjandra performs high-definition lipo-sculpting by default, which may ultimately reveal all your muscle definitions! Unfortunately, a lot of women wrongly believe that women do not have muscles, only men do. In the event that you did not already know, yes, women, too, have muscles! Both men and women have muscles! The reason you hardly see any woman with muscle definitions in Asia, regardless of how slim they are, is not because they do not have muscles. It is because their muscles are all covered by a thick layer of fat! This is what we call “skinny fat”.

Do you know that people who have fat arms have 18% higher risk of getting dementia, while those who have fat tummy have 13% increased risk of getting dementia?

The body types that raise your risk of Alzheimer’s, according to major study | Daily Mail Online

Do you know that if you cannot see the muscle definition of your arms, it is considered fat, although the diameter of your arms may appear small? This is especially true in Asians. Because Asian girls and women tend to be skinny but fat. A term which is coined as “skinny fat”.

The best way to see if you are skinny fat is to flex your arms. Can you see the well-defined separations of your deltoids, biceps and triceps? A lot of (stupid) girls and women think that females do not have muscles; only males do. The fact is that both males and females have muscles. It’s a matter of whether you have big or small muscles. Unless your muscles are being covered by a thick layer of fat, you should be able to see your muscles when you flex them!

Another way to tell if you have fat arms or not is to look at your arms from oblique view (45 degrees angle). Let your arms hang down loosely pressed against your torso. Do your arms appear straight all the way from shoulders down to arms and forearms? Or do your arms bulge out below your shoulders, hence giving the appearance of “sunken shoulders” and “butterfly arms”? If that is the case, you have fat arms! As long as your arms do not form one straight line from shoulders down to forearms, you have fat arms! You may have completely normal BMI, but you are fat! You are skinny fat!

Patient No. 6: Before and after 3D arms liposuction by Dr Arthur Tjandra of Elixir de Vie

Now, take a look at your tummy. Are you able to see your abdominal muscles? Again, both males and females have abdominal muscles. If you cannot see your abdominal muscles, it means they are covered by a thick layer of fat! Even someone who has never done crunches and other abdominal workouts will be able to see his abdominal muscles if he is lean enough and does not have thick layer of fat covering his abdominal muscles.

One good example is King Arthur himself! He practices Shaolin Kungfu and he swims regularly. He does not specifically train his abdominal muscles. But you can still see his abdominal muscles clearly, because he has performed abdominal liposuction on himself, not once, but twice! Once you clear the fat away, your abdominal muscles will show!

This is King Arthur in January 2025.

Do you know that one of the signs that you are living in a healthy body is that you are able to see your muscle definition? If you are one of those women who believe that females do not have muscles, only males do, hence you should not be able to see muscle definition in a female body; that female arms should have no muscle definition, then it’s time for you to read up! You don’t know what muscle definition means? DeepSeek it!

Ultimately, there are two ways to have visible muscle definitions showing through a very thin layer of subcutaneous fat:

  1. Bringing your body fat percentage down to single digit percentage with lots of cardio workouts. But for women, this means burning off most of the fat in their breasts and buttocks at the same time. The one thing about exercising which most people forget is that you cannot “spot reduce“. When you exercise and burn fat, you burn whole body fat, including in areas where you want the fat to remain, such as breasts. In men and women alike, burning off facial fat produces an older and haggard appearance.
  2. The alternative is high definition liposculpting to leave an extremely thin layer of fat underneath the skin, through which the muscles may show through. But please get it done only by an expert. Because a non-expert may produce dents and unevenness, which may be extremely difficult to correct, even by an expert! The are plenty of case studies published in our “Revision liposuction case studies” on this website!