Between 2018 and 2023, Dr Ivan Puah treated over 550 cases, addressing unique challenges in Singapore's multi-ethnic population. His study included diverse case profiles. Results revealing no complications and high satisfaction prove the need to adapt surgical techniques for variations in skin type between Asian and Caucasian patients.
SINGAPORE - Media OutReach Newswire - 3 June 2026 - The evaluation and management of surgical treatment for gynecomastia primarily focus on Western populations. However, Amaris B. Clinic's decades of experience in Singapore highlight specific considerations for Asian patients.
Dr Ivan Puah, Medical Director at Amaris B. Clinic and the lead researcher on a recent study, has offered new insights into treating gynecomastia, a condition characterised by male breast enlargement, in Singapore.
The research paper titled 'Surgical Management of Gynecomastia in Asian Men - Clinical Experience and Considerations for Different Patient Types' provides detailed, important considerations, including the management of the consultation process, addressing varying patient expectations, and tackling the surgical aspects necessary to achieve desired aesthetic outcomes.
Between 2018 and 2023, Dr Puah treated over 550 cases at Amaris B. Clinic and presented six representative patient cases that illustrate the demographics and unique challenges faced by this multi-ethnic Asian population.
The typical patient profiles included obese, overweight, and lean adults, as well as adolescents. Common causes of gynecomastia observed in the patients included hormonal changes during puberty, drug-induced gynecomastia from anabolic steroids, and conditions related to weight loss.
Dr Puah's proprietary surgical methods involve making a single incision along the areola to minimise scar visibility while effectively excising glandular tissue, performing liposuction to remove excess fat, and tightening the chest skin.
Six case studies of diverse gynecomastia patient profiles
| Gynecomastia Grade | Demographic | Profile |
| Grade II | 17-year-old Chinese | - A history of bilateral breast enlargement since 13 years-old
|
| Grade II | 18-year-old Chinese | - A history of bilateral breast enlargement since 12 years-old
|
| Grade II | 22-year-old Malay | - Using anabolic hormone supplements for bodybuilding for 4 years
|
| Grade II | 46-year-old Chinese | - Took anabolic steroids for 5 years
|
| Grade IV | 28-year-old Chinese | - Overweight since childhood
- No reduction in breast enlargement despite losing weight
- Skin laxity present
|
| Grade IV | 21-year-old Indian | - Overweight since childhood
- No reduction in breast enlargement despite losing weight
- Skin laxity present
|
- A history of bilateral breast enlargement since 13 years-old
- A history of bilateral breast enlargement since 12 years-old
- Using anabolic hormone supplements for bodybuilding for 4 years
- Took anabolic steroids for 5 years
- Overweight since childhood
- No reduction in breast enlargement despite losing weight
- Skin laxity present
- Overweight since childhood
- No reduction in breast enlargement despite losing weight
- Skin laxity present
At the 3-month follow-up after surgery, 5 of 6 patients reported no complications, highlighting the effectiveness of the tailored surgical approach. They expressed high satisfaction with the aesthetic results of the procedure, rating it a perfect 7 out of 7, and reported relief from emotional distress.
Only one patient experienced mild keloid formation at the edges of both areolae where incisions were made, which were not easily noticeable, and reported no complications or dissatisfaction.
Dr Ivan Puah emphasises, "It is important to adapt surgical techniques to address issues such as scarring and hyperpigmentation, which can be more pronounced in Asian patients due to their skin types. The differences in skin quality and glandular tissue characteristics between Asian and Caucasian patients with gynecomastia necessitate distinctions in treatment planning, particularly regarding careful incision placement."
The full paper is available via World Journal of Plastic Surgery at https://pmc.ncbi.nlm.nih.gov/articles/PMC12843043/
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ABOUT AMARIS B. CLINIC
Amaris B. Clinic, established in 2004 in Singapore and led by Dr Ivan Puah, focusing on medical aesthetics and cosmetic surgery.
The clinic offers facial and body sculpting services such as liposuction, gynecomastia surgery, and fat grafting, as well as non-surgical treatments like Ultherapy Prime, biostimulator injections, and hair loss therapy.
Amaris B. Clinic's Signature Treatments
ABOUT DR IVAN PUAH
Dr Puah, an MOH-accredited liposuction doctor with extensive training in various cosmetic procedures, is committed to providing personalised care with an artful eye and proven medical techniques.
- Dedicated surgical training in gynecomastia surgery in San Francisco
- Chairman of the Lipo Peer Review Committee in Singapore
- Trained in Vaser liposuction (fundamental and hi-definition) in Colorado and Argentina
- Trained in syringe liposculpture, fat grafting, and thread lift from renowned French plastic surgeon, Dr Pierre Francois Fournier
- Appointed trainer by Allergan and Merz for fellow doctors on cosmetic injectables
- Designated trainer for PDO thread lift and Picolaser from Venusys Medical
- Graduate Diploma in Family Dermatology from NUS
- Graduate Diploma in Acupuncture from TCMB
- Graduate Diploma in Sports Medicine from LKCMedicine, NTU
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SINGAPORE - Media OutReach Newswire - 3 June 2026 - Webdorks Pte Ltd, a Singapore-based web design and development agency, has leveraged Claude Design-assisted prototyping within selected website and Minimum Viable Product (MVP) development projects since May 2026.
The approach is intended to help businesses visualize concepts, explore design directions, review user journeys, and refine core requirements before progressing into full-scale UI/UX design and development.
Claude Design, launched by Anthropic in April 2026, allows users to collaborate with Claude to create visual work such as designs, interactive prototypes, wireframes, mockups, presentations, and marketing materials. The tool enables teams to describe an idea, generate an initial version, and refine the concept through further instructions and edits.
Since its launch, tools such as Claude Design have made it significantly easier to turn early ideas into interactive prototypes. This creates new opportunities for businesses to review concepts more quickly before committing substantial time and budget to a full build.
However, Webdorks believes that early-stage prototyping and production deployment should remain distinct phases, particularly for corporate websites and digital products that support business-critical functions.
"Claude Design has made it much faster to visualize an idea and explore different directions," said Alex Choong, Founder of Webdorks Pte Ltd. "The distinction is that an interactive prototype is not necessarily a production-ready website or application. For higher-stakes corporate projects, the final product still needs proper planning, design review, development, testing, security considerations, and ongoing support."
Using AI at the Initial Prototyping Stage
Webdorks is incorporating Claude Design into the initial prototyping phase of suitable website and MVP projects. Depending on the project requirements, the prototype may be used to demonstrate selected screens, page structures, feature concepts, interactions, or user journeys.
For corporate website projects, this may include exploring the homepage direction, content hierarchy, lead-generation flow, service pages, or selected interactive elements.
For MVP projects, this may include illustrating how users navigate a customer portal, internal dashboard, booking system, membership platform, marketplace, workflow automation tool, or Software-as-a-Service product.
The initial prototype provides stakeholders with a clearer reference point for discussion. It can help businesses identify gaps earlier, compare alternative approaches, and refine requirements before the project enters the more resource-intensive design and development stages.
"Previously, businesses often had to rely heavily on written descriptions, static references, or wireframes during the early stage," Choong added. "AI-assisted prototyping makes discussions more visual and practical. Clients can react to something tangible, which helps us identify what should be retained, changed, or removed before the full build begins."
Prototype First, Production Build Second
Webdorks does not position AI-generated prototypes as a substitute for structured production development.
Corporate websites and digital products may need to support requirements such as brand consistency, responsive behaviour across devices, content management systems, third-party integrations, analytics, customer data, payment gateways, user access controls, internal workflows, performance optimization, quality assurance, security testing, and future scalability.
These requirements become more important when a digital product is customer-facing, revenue-generating, operationally critical, or connected to internal business processes.
For this reason, Webdorks uses AI-assisted prototypes primarily as an early validation tool. Once the direction is confirmed, suitable projects proceed through a structured workflow that may include discovery, UI/UX refinement, technical planning, custom development, integrations, testing, deployment, and post-launch support.
"AI is changing the speed of the first draft," Choong said. "The role of an agency is to turn that first draft into a digital product that is aligned with the business, tested properly, and built for real-world use."
Supporting Faster Validation for Businesses
The introduction of Claude Design-assisted prototyping is part of Webdorks' broader approach to helping businesses launch digital projects in stages.
Instead of building every feature immediately, businesses can begin by clarifying the objective, visualizing the core user journey, and validating the most important requirements. This may be followed by a lean MVP, a more comprehensive version with selected integrations, or a full custom build based on the project's complexity and commercial requirements.
The approach is intended to support businesses exploring new digital initiatives while reducing avoidable rework during later stages of the project.
"AI tools and agencies solve different problems," Choong said. "AI makes early exploration more accessible. For the foreseeable future, agencies will remain important when businesses need to translate an idea into a structured, scalable, and maintainable platform."
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About Webdorks Pte Ltd
Webdorks Pte Ltd is a Singapore-based web design and development agency specialising in corporate websites, e-commerce development, UI/UX design, custom web applications, MVP prototyping, and scalable digital solutions for SMEs and regional brands across Southeast Asia.
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