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Amaris B. Clinic’s first-half 2026 enquiry figures show arm-related concerns accounted for 41.4% of all body-sculpting enquiries from women, with nearly half of those enquiries coming from women in their 40s. Medical director, Dr Ivan Puah links the trend to perimenopause, slowing metabolism and lifestyle pressures specific to Singapore.

SINGAPORE– Media OutReach Newswire – 17 August 2026 – Arm fat has become the single most common concern driving women to seek body-sculpting consultations in Singapore this year, according to internal enquiry data from Amaris B. Clinic, whose medical director, Dr Ivan Puah, is an MOH-accredited liposuction doctor.

Between January and June 2026, the clinic logged 406 face- and body-sculpting enquiries from women, of which 168 (41.4%) cited arm concerns, more than any other body area. Thirty-one women enquired about more than one area, so individual counts do not sum to the total.

The pattern is one Dr Puah says he sees consistently in practice: Arm fat that resists diet and exercise and that many patients report noticing as they enter their 40s.

Nearly Half of Arm-Concern Enquiries Come From Women in Their 40s

Among women who wrote in specifically about arm concerns, enquiries were heavily concentrated in mid-adulthood, an age range that overlaps with perimenopause for many women:

Share of arm-concern enquiries by age group Chart

Full Breakdown

Age group Percentage of arm-concern enquiries
21 –29 year-olds 4%
30 – 39 year-olds 32%
40 – 49 year-olds 42%
50 – 59 year-olds 11%
60 – 69 year-olds 3%
70 and above 1%

Nearly half of all arm-related enquiries came from women aged 40 to 49, an age range that overlaps with perimenopause for many women.

Why Arm Fat Is Difficult to Shift

Women naturally carry 6 to 11 percentage points more body fat than men, a difference tied to reproductive physiology. Genetics also influence where fat is stored, and some women are predisposed to carrying it in the upper arms, a distribution pattern that responds poorly to exercise alone.

Patients describe the concern in different ways, including upper-arm fat, “bingo wings” or “bat wings” (a combination of loose skin and fat that moves with the arm), and chafing where the arm rubs against the body.

Dr Puah points to two overlapping life stages as the main physiological drivers:

“Perimenopause and menopause are the two life stages we most consistently see linked to arm fat in the clinic. As women approach these stages, metabolism slows, and that shift tends to show up first in areas like the arms and underarms. It’s most noticeable in women with an apple-shaped body distribution,” said Dr Puah.

Hormonal changes associated with ageing, often compounded by stress or poor sleep, can make the body more prone to storing fat and losing lean muscle mass. Skin also loses elasticity with age, which Dr Puah says contributes to the looser, softer contour some patients describe.

Climate, Fashion and Workplace Culture Add Visibility

Singapore’s climate means sleeveless and short-sleeved clothing is worn year-round, keeping arms visible for most of the year. Dr Puah says this, combined with grooming expectations in client-facing and corporate roles, contributes to why arm concerns generate more enquiries in Singapore than they might in cooler markets.

“In Singapore’s climate, women are more conscious of how their arms look in everyday clothing, and arm sculpting is consistently among the most common requests we receive for this concern,” said Dr Puah, who chairs Singapore’s Lipo Peer Review Committee.

Not All Arm Fullness Is the Same, Clinic Says

Dr Puah cautions that upper-arm fullness is not uniform from patient to patient. For some women it is predominantly fat. For others, it is a combination of fat and skin laxity, with genetics, hormonal changes and age all shaping the tissue involved.

“Many women are surprised to learn that arm fat is often genetically predetermined and resistant to exercise. A proper evaluation helps clarify what’s driving the concern and sets realistic expectations for what can be achieved. The rise in enquiries reflects growing awareness that stubborn arm fat is a physiological issue, not a failure of willpower or fitness,” said Dr Puah.

The clinic’s data points to a broader shift: arm concerns are no longer a secondary consideration for patients but a leading driver of body sculpting consultations among women in Singapore, particularly during the perimenopausal transition.

Note on methodology: Figures are drawn from self-reported enquiry records logged by Amaris B. Clinic between 1 January and 30 June 2026 and reflect enquiries at this clinic only; they are not a population-representative survey of Singapore women.
Hashtag: #MedicalAesthetics






The issuer is solely responsible for the content of this announcement.

ABOUT AMARIS B. CLINIC

Founded in 2004 and led by Dr Ivan Puah, Amaris B. Clinic is a Singapore-based medical aesthetics and cosmetic surgery practice. Its services span facial and body sculpting, including liposuction, gynecomastia surgery, and fat grafting, alongside non-surgical treatments such as 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 – 13 August 2026 – Global fintech company PayerMax today announced that Last War: Survival Game (“Last War”), one of the world’s leading strategy mobile games, has successfully integrated the cashless payment service Rakuten Pay, marking a key milestone for the company.

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As a leading overseas payment service provider (PSP), PayerMax has integrated Rakuten Pay to enable international merchants to adopt this payment method in Japan. This integration marks a significant milestone in the technical collaboration, successfully supporting merchants in leveraging Rakuten Pay for their local operations.

The milestone not only enhances the localized payment experience for Last War players in Japan, but also demonstrates how international game publishers can leverage trusted local payment partnerships to accelerate market entry, strengthen localization and better engage Japanese consumers.

Connecting with Japanese Players Starts with Local Payments

As more global game publishers expand into Japan, localized payment experiences have become an increasingly important part of player acquisition, monetization and long-term growth.

As one of the flagship payment services within the Rakuten Ecosystem, Rakuten Pay plays a central role in Japan’s digital commerce landscape. The Rakuten Ecosystem connects more than 100 million registered members across e-commerce, financial services, travel, mobile and offline retail, and Rakuten Pay has become one of Japan’s most widely adopted local payment methods.

For international game publishers, integrating Rakuten Pay is about more than offering another payment option. It provides access to one of Japan’s most established consumer ecosystems, allowing games to deliver payment experiences aligned with local player preferences while building stronger engagement in one of the world’s most competitive gaming markets.

Supporting Last War Highlights PayerMax’s Local Payment Expertise in Japan

As one of the fastest-growing strategy games worldwide, Last War continues to expand its global footprint, with Japan representing one of its key strategic markets. As expectations for localized payment experiences continue to rise, enabling familiar and trusted local payment methods has become an important part of enhancing player experience and supporting sustainable growth.

With support from PayerMax, Last War successfully integrated Rakuten Pay, becoming a leading overseas game to support the payment method and offering Japanese players a more localized and seamless payment experience.

Designed to support international businesses entering Japan, PayerMax provides a unified payment solution that bridges the gap between global merchants and the local ecosystem. By leveraging PayerMax’s integration with Rakuten Pay, PayerMax serves as a gateway for international businesses to establish a strong presence in the Japanese market.

Faster Market Entry

Through PayerMax’s system integration with Rakuten Payment, eligible merchants benefit from a standardized integration pathway that shortens implementation timelines and accelerates go-to-market execution in Japan.

Reliable Compliance and Fund Management Enablement

Leveraging the established business relationships between PayerMax and Rakuten Pay, merchants are empowered to integrate Rakuten Pay through a streamlined, standardized pathway which is aligned with Japan’s local regulatory and operational requirements, thereby delivering a payment experience that resonates with the everyday spending habits of Japanese players. Furthermore, within this collaborative framework, PayerMax and Rakuten Pay facilitate the unified orchestration of critical processes including KYC, anti‑money laundering (AML) and fund management, effectively alleviating the operational complexities and associated costs of local payment execution. This enables merchants to refocus their resources on sustainable business growth and enriched player engagement.

Access to Japan’s Consumer Ecosystem

Through PayerMax, businesses can better engage local consumers, strengthen brand presence and build sustainable long-term growth in Japan.

The successful integration for Last War not only demonstrates the commercial value of the partnership between PayerMax and Rakuten Payment, but also provides a proven reference for more global game publishers and digital content companies expanding into Japan.

Executive Quotes

Hiroki Sogawa, Executive Officer, Rakuten Payment, said:

“We are pleased to partner with PayerMax and to see Last War, a leading title, successfully integrate Rakuten Pay as a payment option. Through this collaboration, we look forward to supporting more international businesses and digital content providers in delivering trusted, localized payment experiences for Japanese consumers.”

Will, APAC General Manager of PayerMax, said:

“Integrating with Rakuten Pay marks an important milestone in PayerMax’s expansion of local payment capabilities in Japan. The successful launch of Last War reflects the strength of our partnership and demonstrates our ability to help global game publishers and international businesses localize faster through trusted local payment infrastructure. Looking ahead, we will continue working with leading local payment partners worldwide to deliver secure, compliant and scalable payment solutions for global merchants.”

Strengthening Local Payment Infrastructure for Global Growth

The partnership with Rakuten Payment represents another important milestone in PayerMax’s strategy to strengthen local payment infrastructure across key global markets and further expand its local payment capabilities in Japan.

Today, PayerMax supports businesses across more than 150 markets and offers access to over 600 payment methods worldwide, backed by an extensive network of local payment partners spanning Japan, Southeast Asia, the Middle East, Latin America and other high-growth regions.

Rather than simply aggregating payment methods, PayerMax focuses on connecting businesses with the local payment ecosystems that shape consumer behavior in each market. By combining enterprise-grade payment technology with trusted local partnerships, PayerMax enables international businesses to localize faster, operate more efficiently and achieve sustainable global growth.

Hashtag: #PayerMax #RakutenPay

The issuer is solely responsible for the content of this announcement.

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