Dr Ng Hian Chan

Dr Ng Hian Chan Breast Implants
Breast Lift
Breast Reduction
Liposuction
Plastic Surgeon Consultation
Tummy Tuck

Consultant Plastic & Cosmetic Surgeon
Penang Adventist Hospital JCI-Accredited Hospital
5 ⭐️ / 184 Google reviews
22 years of Verified patient Reviews Online
5 Language Ability (English, Mandarin, Malay, Hokkien, Cantonese)
https://linktr.ee/nghianchan

10/09/2026

Following the trend
My retro 1980 look
只是不小心带着Totoro穿越回八零年代了🤣

09/09/2026

Touch these hands and see what happens. 😂🔪"

09/09/2026

I got over 8,000 reactions on my posts last week! Thanks everyone for your support! 🎉

Actually I didn’t realised my page was banned/ not recommended for few months because of my previous breast implant/ reduction before and after photos (meta algorithm changes 🥲)

Also because I am a bit reluctant to do too much social media marketing staff and stay very low profile all this while, so is more like a dormant account.

Will try to keep my facebook account more active after this with more educational content 🙏

赴海外手术 ：一位整形外科医生的冷静思考最近几起年轻健康的患者在海外进行整形手术、却因长时间麻醉不幸发生意外的新闻，引发了广泛关注。作为一名接待来自印尼、新加坡、澳大利亚等国际患者的整形外科医生，这些悲剧让我陷入了深深的思考。今天，我想坦诚...
08/09/2026

赴海外手术 ：一位整形外科医生的冷静思考

最近几起年轻健康的患者在海外进行整形手术、却因长时间麻醉不幸发生意外的新闻，引发了广泛关注。作为一名接待来自印尼、新加坡、澳大利亚等国际患者的整形外科医生，这些悲剧让我陷入了深深的思考。
今天，我想坦诚地聊聊医疗旅游的边界：

🛠️ 技术已经解决了什么？

其实解决了很多问题。病史收集、术前照片，甚至3D照片模拟都可以在患者登机前在线完成。预先录制的科普视频能让患者充分了解情况，而非盲目盲从。这部分确实非常高效。

🛑 技术永远无法替代什么？

屏幕无法代替医生用双手去触诊组织，也无法捕捉到当我对患者不切实际的诉求说“不”时，对方的微小反应。
很多患者希望“面诊+手术”一天搞定，省得再飞一次、多住一晚酒店。
但越来越觉得，最安全的模式依然是：面诊 ➔ 敲定方案 ➔ 完善术前评估 ➔ 冷却24小时，再进手术室。
这24小时的冷却期不是官僚主义，而是为长途旅行疲劳和沉没成本下做出的决策系上一条安全带。

⚠️ 最残酷的真相：切勿贪多求快

飞来海外的患者往往想“一次性做完”：一次麻醉、一次恢复、直接飞回家。
一位大马资深整形外科前辈曾对我说过一句话，我至今铭记：“资深医生拒绝合并过多手术很容易，但年轻医生面对面子和经济诱惑，很难说不。”

局麻/清醒镇静 vs 全麻马拉松：合并手术并非绝对不行，但“为了日程方便”而非“身体安全”去盲目叠加就是鲁莽。全麻气管插管时间越长，下肢血栓脱落引发肺栓塞的风险就越高——这也是海外医美事故的常见原因。

🛡️ 我的安全解法

我的大多数手术采用局部肿胀麻醉结合镇静药物而非全麻。与其来一场10个多小时的全麻马拉松，不如将其拆分成两到三天，间中留院观察。
👉 这样单次麻醉时间更短、医生状态更好，也无需赶着全麻时间仓促收尾。

📋 赴海外医美手术前，务必问清这4个问题：

1. 急救保障： 手术机构是否具备ICU备份和血库支持？
2. 资质核实： 医生的专科认证是否可独立查证，而不只是墙上的一张证书？
3. 售后保障： 飞回国后出现并发症怎么办？谁来处理？距离有多远？
4. 拒绝逼单： 是否有真正的冷静期，还是行程被刻意设计得让你觉得“想再等等”既花钱又尴尬？

医疗旅游本身没有错，错的是仓促、未经分期、缺乏面诊的盲目医美。

远程准备患者的技术已经成熟，但无法被算法替代的，永远是一位愿意慢下来、对生命负责的医生。

Patients often ask me whether it is safe to fly abroad for surgery.
My honest answer: medical tourism isn't the problem. Rushed medical tourism is.

WHAT TECHNOLOGY HAS SOLVED

Quite a lot, actually. Medical history, photographs, an initial online consultation, 3D Simulation photos to assist surgical planning — all of this can happen before a patient ever boards a flight. Pre-recorded education videos mean patients arrive informed rather than blindsided. This part genuinely works.

WHAT IT HASN'T SOLVED

A screen cannot replace a hand examining tissue. It also can't replace the conversation where I watch how someone reacts when I say no to something they wanted.

I still prefer to meet a patient face to face well ahead of surgery day. Some patients want the consultation and the surgery on the same day — save the extra flight, save the hotel night. I understand the appeal. But I would rather we consult, finalise the plan, complete a proper pre-operative assessment, and then leave at least 24 hours before surgery.

I want to be clear that the 24 hours is my own preference, not a published standard of care. Nobody will tell you that you have done anything wrong by operating sooner. I simply think the gap earns its place. It is a safety net for decisions made under travel fatigue and financial pressure.

THE PART NOBODY WANTS TO HEAR

Patients flying in often want everything done in one trip. One anaesthetic, one recovery, one flight home.

A senior Malaysian plastic surgeon once told me something I have never forgotten: saying no to combining multiple procedures gets easier once your practice is established. But is not that easy for younger ones. “Pride and Greed “you must learned to recognise and resist. These sentences have shaped how I practise more than any textbook.

Combining procedures is not reckless in itself. What is reckless is combining them because it suits the calendar rather than the body. The longer a patient is under general anaesthesia and immobile, the higher the risk of blood clots forming in the legs and travelling to the lungs — a recognised cause of death after surgery.

Most of my procedures are performed under sedation with tumescent local anaesthesia rather than general anaesthesia. Where a patient needs more than one procedure, I would rather stage it across two or three separate days, with overnight observation in between, than run a single long marathon under general anaesthesia. Shorter anaesthesia exposure each time. Less surgeon fatigue. No rush to finish everything under one general anaesthesia.

FOUR QUESTIONS WORTH ASKING BEFORE YOU BOOK SURGERY ABROAD

1. Does the facility have intensive care support and blood bank access if something goes wrong during the procedure? I operate at Penang Adventist Hospital, which is accredited by Joint Commission International, and I would encourage you to ask the same question of any facility you are considering.

2. Is your surgeon's specialist registration independently verifiable, rather than a certificate on a clinic wall? In Malaysia you can check the Malaysian Medical Council register and the National Specialist Register at mmc.gov.my.

3. If a complication appears after you have flown home, who manages it, and how far away are they?

4. Are you being given a genuine cooling-off period, or is the itinerary built so that saying "let's wait" feels expensive and awkward?

The technology to prepare a patient safely from another country now exists. What still cannot be automated is a surgeon willing to slow down.

This is Part 1 of a two-part series on the risks of medical tourism. Part 2 looks at the agent and commission side of the industry — how patients end up where they end up in the first place.

Dr. Ng Hian Chan | 黄献赞医生
Consultant Plastic & Cosmetic Surgeon, Penang Adventist Hospital
WhatsApp +6018-5714762
http://drng.com.my/

06/09/2026

Fat grafting to the breast — using your own fat instead of an implant — is often described as the safest option. It uses your own tissue, and nothing foreign goes in. That part is true.

But it has trade-offs that patients deserve to hear before they decide. I go through them honestly in this video.

You need enough donor fat. If you are very slim there simply isn't enough to harvest. In my practice I generally don't recommend it below a BMI of 19.

Not all the transferred fat survives. The survival rate can be less than 40%. And if you are very flat to begin with, your breast tissue is tight, so only a limited volume can be placed in one session. That is why two or three sessions are often needed to reach the size a patient has in mind — which means more time and more cost than most people expect.

Fat that doesn't survive can leave residual oil behind, and that can form an oil cyst. In many cases this is treated with a simple needle aspiration rather than surgery. If it happens, go back to your original surgeon first — a doctor who doesn't know what was done previously may recommend surgical removal when it isn't always necessary.

It can also show up on a mammogram as calcification. One point worth adding here: always tell your radiologist that you have had fat grafting. An experienced radiologist can usually distinguish these changes from something suspicious, but they need to know they are looking at a grafted breast.

To be clear — I perform fat grafting regularly at Penang Adventist Hospital, harvesting the fat with waterjet-assisted liposuction. I offer it to patients who have enough donor fat and who understand what one session realistically achieves. It is a good operation for the right person, and a frustrating one for someone expecting an implant result.

Which approach suits you depends on your own anatomy and goals. Individual results vary.

Questions are welcome in the comments.

Dr. Ng Hian Chan | 黄献赞医生
Consultant Plastic & Cosmetic Surgeon, Penang Adventist Hospital
WhatsApp +6018-5714762 | drng.com.my

05/09/2026

1.6 million views. 3,781 shares. Thank you!

When I posted about cancelling an outstation patient's tummy tuck, I did not expect that response. What struck me most were the questions in the comments — sharp, fair, and worth answering properly. So here they are.

"Didn't you examine her before the date of operation?"
"Why was the patient booked in the first place?"
"Why wasn't the risk assessed much earlier?"

Online consultation is not foolproof. I would always prefer to see a patient face to face and examine them before we proceed, but for outstation and overseas patients that is not always possible before the travel date. We gather as much as we can online — history, photographs, records. Sometimes the photographs sent are not proper, or not a full picture. Things can still be missed.

To be clear about what does happen: every patient has a full history taken and a clinical examination, and there is an anaesthesia assessment before surgery. Testing is not skipped — it is targeted. Current guidance internationally has moved away from routine blood tests for young, healthy patients having straightforward procedures, because unnecessary tests create anxiety, delays and false alarms without changing management. Tests are ordered whenever the history, the examination or the patient's age and existing conditions indicate them.

That is exactly what happened here. The assessment picked something up, and we cancelled. A cancelled operation is not a failure of the system. It is the system working.

On medical tourism, one more thing worth saying. When patients travel for surgery, there is a temptation to do many procedures in one sitting to make the trip worthwhile. Longer surgery means longer anaesthesia, and that raises the risk of complications. My advice is the same to every patient: do not schedule multiple major procedures together just to save a trip.

And before you book any surgery, at home or abroad, ask the harder questions. Not just what the result will look like. What complications are possible, and who will be there to manage them if something goes wrong.

Thank you again for sharing, commenting and pushing back. Please keep doing it.

WhatsApp +6018-5714762
http://drng.com.my
Penang Adventist Hospital, 465 Jalan Burma, George Town, Penang

Individual results vary. This is general information and not medical advice.

04/09/2026

After a long day in the operating theatre, there’s one “therapist” who never cancels an appointment — Totoro.

No matter how heavy the day, how long the surgery, or how tired I am, he’s always waiting at the door when I get home.

A few minutes of silliness with him and somehow the stress of the day just melts away.

Funny how the best therapy doesn’t need a medical degree — just unconditional love and a wagging tail (or paws!).

Grateful for this little guy who reminds me to slow down, breathe, and just be present. 🐾❤️


When a “mild” burn turned out not to be mild.A patient came to see me on day 4 after a gas explosion burn to both legs. ...
04/09/2026

When a “mild” burn turned out not to be mild.

A patient came to see me on day 4 after a gas explosion burn to both legs. At the emergency room, the wound looked relatively superficial — treated as an outpatient case with silver sulfadiazine cream and open dressing.

By day 4, the picture had changed. The burn had fully declared itself — extensive second-degree burns with blistering, significant pain, and a wound the family could no longer manage at home.

We took the patient for wound debridement under general anaesthesia to remove the dead skin, then closed the wound with modern dressings — Permeaderm (an artificial dermis) on the right leg and Mepitel A on the left. Pain dropped significantly afterward. The patient needed only outer dressing changes, was discharged after 2 days, returned once more 5 days later, and the wound was fully healed by day 10.

A few things I think are worth sharing:

1. Burn wounds can take 3–4 days to fully “declare” themselves. An early assessment isn’t always the final picture.

2. Most second-degree burns actually heal faster in a moist, closed environment than when left exposed to air.

3. The old advice to “let it air out” tends to mean more pain and a higher infection risk — not faster healing.

4. Modern dressings, applied after proper cleaning and debridement, can often stay in place until the wound heals — far fewer dressing changes, and far less pain, especially for children and larger burns.

5. These dressings aren’t a substitute for skin — if the burn is deep enough, a skin graft is still needed.

Burn care has moved a long way from the old exposure method.

If you or a family member is dealing with a burn wound, an early review with a plastic surgeon can change the course of healing.

“Patient consented for sharing of her wound pictures for public education purposes “

“Both dressings are free samples given by drug companies and I don’t receive any remuneration for using the dressings or writing this article “

When “beautiful results” hide a poorly built foundationToday I removed a silicone nose implant from a patient who came t...
02/09/2026

When “beautiful results” hide a poorly built foundation

Today I removed a silicone nose implant from a patient who came to me unhappy with her results — too high, unnatural-looking, and drifting to one side. She’d had the surgery about two years ago at an aesthetic clinic, and was told her tip had been refined using her own ear cartilage.

What I actually found on the table told a different story: a single large L-shaped silicone implant, with almost no identifiable ear cartilage. The implant had been extended in an “L strut” shape all the way down to the base of the nose (columella) — a technique we’re generally taught to avoid, because it puts too much tension on the delicate skin and tissue at the tip. Over time, that tension is exactly what can cause the implant to become visible, mobile, or push the nose out of shape — which is what had happened here.

I’m not a rhinoplasty specialist, but even from general training, some principles are well established: the tip of the nose is best shaped using the patient’s own cartilage, not stretched further with silicone. When it’s done the other way around, patients are often left with a nose that looks “high” but never achieves the natural, soft contour a well-shaped tip should have.

I’m sharing this not to point fingers at any one clinic or practitioner, but because I keep seeing the same pattern: patients drawn in by beautiful before-and-after photos on social media, paying premium prices for procedures that promise a lot — and receiving far less than what was described. And when complications happen, many struggle to even find a surgeon willing to take on the corrective surgery.

A few things worth knowing if you’re considering rhinoplasty or nose implant surgery:

• Ask directly about your surgeon’s qualifications and specific training in rhinoplasty — not just cosmetic procedures in general.
• A implant or cartilage graft that looks good on day one isn’t proof of a sound technique — problems like this often only surface months or years later.
• If something feels off after a procedure, seek an opinion early. Waiting doesn’t make correction easier.
• Corrective (revision) rhinoplasty is more complex than a first-time procedure, and not every surgeon is equipped to handle it.

Public awareness is one of the few tools patients have to protect themselves, especially where enforcement against unlicensed practice is inconsistent. I hope sharing cases like this — carefully and respectfully — helps more people ask the right questions before they go under the knife.

“Patient consented for sharing of picture of her removed implants for educational purposes 🙏”

今天，我为一名患者取出了硅胶隆鼻假体。她对原来的手术效果很不满意——假体过高、看起来很不自然，并且向一侧偏移。她大约两年前在一家医美诊所做了手术，当时被告知她的鼻尖是用她自己的耳软骨进行修饰的。

然而，我在手术台上实际发现的情况却完全不同：一个单一的大型L型硅胶假体，几乎找不到任何可辨认的耳软骨。该假体以“L型支柱”的形式一直延伸到鼻子的基底部（鼻小柱）——这正是我们通常被教导应避免的技术，因为它会对鼻尖脆弱的皮肤和组织施加过大的张力。随着时间的推移，这种张力正是导致假体显形、移位或使鼻子变形的罪魁祸首——这与患者当时的情况完全吻合。

我虽然不是鼻整形专科医生，但根据常规培训，一些基本原则是公认的：鼻尖最好用患者自身的软骨来塑造，而不是用硅胶进一步拉伸。如果本末倒置，患者往往会得到一个看起来“很高”的鼻子，却永远无法达到精心塑形的鼻尖应有的自然、柔和的轮廓。

我分享这些并不是为了指责某家诊所或某个执业医师，而是因为我不断看到同样的模式：患者被社交媒体上漂亮的术前术后对比照所吸引，支付了高昂的费用进行承诺多多的手术——而实际得到的却远少于所描述的。当并发症发生时，许多人甚至很难找到愿意承接修复手术的外科医生。

如果您正在考虑进行鼻整形或隆鼻假体手术，以下几点值得了解：

直接询问您的外科医生的资质以及在鼻整形方面的专业培训情况——而不仅仅是一般的医美项目经验。

术后第一天看起来好看的假体或软骨移植并不证明技术稳妥——诸如此类的问题往往在数月或数年后才会显现。

如果在手术后感觉有任何不对劲，请及早寻求专业意见。等待并不能让修复变得更容易。

修复性（翻修）鼻整形比初次手术更为复杂，并非每位外科医生都具备处理的能力。

公众意识是患者保护自己的少数工具之一，尤其是在对无证执业的监管力度不一致的地方。我希望通过谨慎而尊重地分享此类病例，能帮助更多人在动刀之前提出正确的问题。

#鼻整形

Address

Level 3, Cosmetic Clinic, 465, Jalan Burma, Taman Selamat
George Town
10350

Opening Hours

Monday 09:00 - 17:00
Tuesday 09:00 - 17:00
Wednesday 09:00 - 17:00
Thursday 09:00 - 17:00
Friday 09:00 - 15:00

Telephone

+6042227761

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