Cosmetic Surgery

Cosmetic Surgery

What Is A Hair Transplantation?

Hair loss is one of the most common cosmetic problems encountered today. Although it is thought to be specific to men, it is a problem faced by women from time to time. Shedding between 50 and 100 hair strands on a daily basis is normal. If there is a spillage in numbers above this, a specialist should be consulted. Although hair loss can be reduced or prevented with various hair treatments such as hair laser and PRP, hair transplantation operation is performed as a permanent solution for people with extensive hair loss.

Hair transplantation is a natural and permanent solution to the problem of thinning and baldness caused by hair loss. With the hair transplant operation, hair follicles that are genetically resistant to shedding are collected from the nape of the patient and transplanted into the channels opened in the areas where baldness or thinning occurs. Hair transplant operation is a microsurgical surgery performed under local anesthesia. For this reason, it should be done in a hospital environment and in the presence of an anesthesiologist.

Basic Stages Of Hair Transplantation

1. Collection of hair follicles

After the donor area is prepared for the procedure, the hair follicles are collected one by one with the FUE motor. In the meantime, it is very important that the roots are not damaged. Each of these roots, called grafts, contains an average of 2-3 hairs.

2. Opening the channels

Opening the channels in the right size and depth according to the area in which they are located affects the rate of hair growth. Care should be taken to open a channel suitable for the size and length of the hair follicle to be transplanted. The angle of the channel should also be adjusted well to obtain the most natural view.

3. Planting roots in opened channels

In the last stage, the roots collected are placed in the opened canals one by one at 40-45 degrees and the hair transplantation operation is completed.

Techniques Used In Hair Transplantation

Today, the following hair transplant methods are successfully applied. Each method is specially selected according to the needs and demands of the patient. The common opinion of the doctor and the patient about which method to apply is effective.

1. Robotic Hair Surgery

In this method, hair follicles are collected by the hair transplant robot. After the canals are opened with the hair transplant robot, the collected roots are transplanted manually.

2.DHI Hair Transplant (Unshaved)

In this method, which is also called direct hair transplantation, using a medical pen called choi, channel opening and transplantation are performed simultaneously. Since the hair follicles to be transplanted will remain outside for a shorter time, the grafts are more likely to remain healthy.

3. Sapphire FUE Hair Transplantation

In this method, a special sapphire-tipped pen is used instead of metal slit during the channel opening phase. What makes the method different are these sapphire tips that allow smaller micro channels to be opened, thus accelerating the healing process and reducing scabbing.

4. Normal FUE Hair Transplantation

Hair follicles, which are collected and separated using a micro motor, are transplanted into manually opened channels.

Liposuction (Fat Removal)

Liposuction is a method of obtaining smoother body lines by removing excess fat tissues in some parts of the body by vacuum method. In this way, the fat in the areas where these stubborn fat accumulations are removed and a more proportional appearance is given to the body. Contrary to popular belief, liposuction is not a slimming surgery, it is a contour correction surgery.

The success of the surgery in liposuction depends on the elasticity of the skin, weight of the patient and determination of what they expect from the surgery. This surgery should not be seen as a miraculous slimming method. While the volume of fat cells in the body decreases with exercises and strict diets, the number of fat cells does not decrease. In liposuction operations, the number of fat cells decreases by removing fat cells from the body.

Which areas is liposuction applied?

Abdominal, waist, hip, hip area, knee, ankle, arms, breast, face and jowl are the areas where fat can be removed by liposuction.

Who can have liposuction?

The most suitable patient group for liposuction surgery is the patients who have accumulated fat in some parts of the body (especially the hips, hips, abdomen and waist regions) that are close to their ideal weight or slightly more than ideal, but cannot be removed with diet or exercise.

The fact that the patient has a tight and elastic skin structure, smoking or not smoking also affects the result.

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Are permanent results obtained in liposuction?

If the patient maintains his weight, the result is permanent. In case of gaining weight in the following periods, these regional excesses will not be at the same rate.

How long is the operation time?

Liposuction surgery varies between 1-3 hours depending on the operation area and the size of the procedure. Surgery is performed under local or general anesthesia depending on the areas to be fat removed.

How is the surgery done?

Liposuction surgery is performed with vacuum devices using cannulas of different sizes. Since mm incisions are made large enough for these cannulas to enter, there is no obvious scar.

Techniques such as laser liposuction, Vaser liposuction, ultrasound assisted liposuction, wet (giving liquid) and dry liposuction are available. Vaser Liposuction is preferred among these methods in our hospital and applied to our patients.

What are the points to be considered in the postoperative period?

There is not much pain after the operation. Mild pain is relieved with painkillers. Patients are usually discharged on the same day or the next day. It is possible to return to work within 2-3 days.

There may be swelling and bruises in the postoperative period. It usually heals in 2 weeks. However, all the swelling in the operation area goes down and the area takes its final shape in about 6-12 months. During this period, massage and some other treatments can be applied for support.

In order for the surgery to be effective, it is appropriate to use a corset for 1 month after the operation.

It is beneficial to pay attention to diet and exercise in the postoperative period. It should not be forgotten that if you continue to overeat, you may gain weight in other parts of the body, even if not as much as before. However, in the case of this weight gain, the regions that have been liposuctioned and the regions that have not been made gain weight proportionally.

Breast Augmentation

Having beautiful and shaped breasts is undoubtedly something many women desire. For this reason, many women today prefer breast augmentation.

Who is breast augmentation done?

  • Those who have small breasts from adolescence
  • Patients who lost serious amounts of weight after pregnancy or
  • Patients who lost their breasts as a result of breast cancer
  • Patients with congenital diseases without breast, small or asymmetrical
  • Patients who are uncomfortable with breast size and want to have larger breasts
  • Surgery is performed for more symmetrical, bulky, plump and erect breasts.

The most suitable and healthy solution for small breasts is silicone breast prosthesis. Augmentation procedures made with fat tissues taken from the person can also be tried, but they are not generally preferred because they may melt and cause a decrease in volume. The most suitable patients for breast augmentation with fat injection are patients with high fat ratio in their body. At the same time, the amount of regional oil is reduced in this way.

How are the prostheses used in breast augmentation operations?

Silicone prostheses are of 2 types, drop (anatomical) and round. Prosthesis suitability is decided according to the person's breast structure, height, shoulder-trunk relationship, breast skin, patient's request and the situation deemed appropriate by the surgeon. The outer wall of breast implants consists of a silicone sheath. They are products with silicone gel inside. Its walls are rough or smooth. It has different dimensions in terms of volume, base diameter and height.

It is very unlikely that any health problems will occur in breast augmentation surgery performed with FDA-approved prostheses produced with the latest technology. Studies have not found a relationship between silicone prosthesis and breast cancer. Breast prostheses are used for many years. They do not need to be changed unless a problem occurs.

Can people who have undergone breast augmentation breastfeed?

This question is one of the most common questions for women. Many young women who are not mothers hesitate to have breast augmentation for this reason. However, research has shown that the applied prosthesis does not prevent breastfeeding.

How is breast augmentation surgery performed?

The operation takes about 1-2 hours. The patient is discharged after staying in the hospital on the same day or overnight.

Silicone prostheses are placed in 3 methods, depending on where they are placed in the breast, under the muscle (pectoralis major muscle), over the muscle or both under the muscle and above the muscle (Dual plan).

The prosthesis is placed most often at the sub-breast fold, less frequently around the nipple, armpit area or the belly area.

Very slight breast sagging is also eliminated with breast augmentation surgeries. However, it is beneficial to include breast lift surgeries in moderate and advanced sagging.

What are the points to be considered in the postoperative period?

It is possible to experience pain in the first 2 days, which is a little too much for prostheses placed under the muscle, to be reduced by painkillers to be given in prosthesis surgery. Swelling and bruises are seen in and around the breast area. They usually disappear within 2 weeks. However, it takes 6 months to 1 year for the swelling of the breast to completely go down and the breast to take its final shape.

If the person does not do very heavy work in the postoperative period, he returns to his work and normal life after 3 days. It is recommended to avoid heavy exercise and lifting loads for about a month.

What are the risks that may occur with surgery?

Surgery-related bleeding and infection are rare, but can be seen. Some patients may have decreased or increased sensory changes in the nipples. This situation is usually temporary.

Against the protein, the body produces a membranous substance called a capsule. This membrane does not cause any problems when it is thin. However, this capsule may reach medium and advanced sizes in some patients. In this case, a secondary intervention may be required.

The possibility of rupture of the prosthesis is unlikely, except in cases of severe chest trauma such as an in-vehicle traffic accident, falling from a height and cutting tool injuries.

Breast Reduction

Most of the patients who apply with the complaint of breast size need breast reduction operation due to health problems beyond aesthetic concerns.

Especially at a young age, breast size causes the person to face psychological problems. Breast size also affects the skeletal system. The weight of the breasts forces the body forward and triggers discomfort such as neck hernia, hunchback in the back, loss of strength due to nerve compression in the arms. This pressure in the skeletal system increases with osteoporosis. The solution to these problems is usually surgery and breast reduction surgery is required.

How is the surgery done?

It is aimed to achieve the maximum shape formation with the least surgical scar. Therefore, preoperative breast measurements and drawings should be planned well. This stage is as important as surgery for the surgical result to be achieved.

Breast reduction surgery, also called reduction mammoplasty, provides a reduction in breast size, shaping and a more upright appearance to the breast. In these surgeries, the skin, subcutaneous fat tissue and breast tissue, as well as milk gland tissues are removed from the large breast.

In breast reduction surgeries, not only reduction, but also lifting and lifting operations are performed. In addition, if the size of the nipple called areola is large, it is also possible to reduce it and shape it.

Although it varies from person to person in breast reduction surgeries, scars under the bra area or bikini are seen. These scars appear as inverted T, J or L shaped scars around the nipple-areola and towards the sub-breast fold area, depending on the surgical technique and the degree of reduction of the breast. These traces, which are prominent and red in the first months, become less noticeable in later times.

Although the duration of the operation varies depending on the size of the breast and the techniques applied, it takes around 2-4 hours.

What are the points to be considered after the surgery?

The operation takes place under general anesthesia. Usually, the patient is discharged after an overnight stay in the hospital.

About 1-4 after surgery. Drains are placed in both breast areas to be removed on days. Pain is seen in the first 2 days to decrease with painkillers. It is also possible to see swelling or bruises around the breast. However, these usually pass completely after 2 weeks.

Special sports bras are worn to reduce post-operative edema. It is possible to return to desk work 4-5 days after the operation. Exercise and heavy lifting is generally not recommended for 3-4 weeks.

It takes 6-12 months for the swelling of the breast to completely disappear and the breast to take its final shape.

Is it breastfed after breast reduction surgery?

In some cases, since the milk ducts are removed to a certain extent, post-pregnancy breastfeeding functions may also be affected. Some studies show that this rate is 10-20 percent.

Who are the risky groups?

In diabetic patients, patients with systemic diseases, various vitamin and mineral deficiencies, wound healing problems, especially in smokers, and a prominent situation in the scars that may occur on the wound. Therefore, potential risks should be explained to these patient groups.

Breast Lift

Due to reasons such as pregnancy, breastfeeding, aging, genetics and rapid weight gain and loss, the breasts lose their shape by the effect of gravity. This, in turn, affects the patients psychologically negatively with the decrease in self-confidence.

With breast lift operations, it is possible for women to have upright and stronger breasts as desired.

How is the surgery done?

The surgery is done under general anesthesia. The duration of the operation varies between 2-4 hours depending on the degree of sagging of the breast and whether it is needed to be filled.

With this surgery, excess and sagging skin areas are removed and the breast tissue is lifted and plumped at the same time. If the person's own tissue is not sufficient in this filling, silicone prostheses or fat injection methods are also helped. At the same time, the enlarged and sagging nipple is brought to the place and size it should be.

In this surgery, scars are left at different rates depending on the degree of sagging towards the nipple and sub-breast fold area. It should be known that there is no scar-free breast lift surgery. However, these scars become less noticeable over time.

If the nipple does not sag down too much and if there is a small amount of sagging together with the lack of volume, prosthesis is placed in such breasts and both breast fullness is provided and the breast is lifted.

Since milk ducts in the breast are not affected much, it is very rare to have breastfeeding problems.

What are the points to be considered in the postoperative period?

The patient is discharged on the day of surgery or after staying in the hospital overnight. Except for the pain that decreases with painkillers on the first day, pain is not expected with other days.

Swelling and bruises occur around the breast, which usually last 2 weeks. In some patients, drains are placed into the breast to be removed after 1-2 days. Sports bras are worn for 3-4 weeks after the operation. If the patient does not work in jobs that require heavy work, he continues to work after the third day. It is recommended to stay away from heavy exercise and work for about a month. Breast lift surgeries are operations that give good results to the breast. However, it should not be forgotten that there may be some sagging after the operation due to pregnancy, breastfeeding, rapid weight gain and loss, and gravity with age.

Face Lift

Facial sagging, under-eye bags, deep wrinkles are seen on the face due to aging, gravity, stress, smoking, drinking, malnutrition, the effect of sunlight, etc.

In advanced ages, the soft tissue on the face decreases and hangs downwards with the effect of gravity over the facial bones. It is possible to describe this situation as the skin of the face begins to appear abundantly. The purpose of face lift surgeries is to remove this abundance and create a more tense and lively skin.

With the facelift surgery, the sagging excesses on the face skin are removed, the thin muscle layer under the skin is reshaped and stretched.

How are facelift surgeries performed?

Facelift operations are divided into the upper face part that includes the forehead and eyebrows, the mid-face part that includes the eye level and circumference, and the lower face part that includes the mouth, chin and neck region, according to the area of ​​the current problem. Purpose of facial rejuvenation surgery; It is to hang the sagging and loosened skin tissues in their original places in different parts of the face and to tighten the skin by removing excess sagging skin.

In facelift surgery, the scars are hidden in the scalp in the temple area, in the natural folds in front and behind the ear. Since the scars of the surgery are hidden, they are not very visible.

In combination with facelift surgeries, applying eyelid surgeries, skin peeling, filling - botox also increases success.

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How long is the operation time?

The operation takes 2-5 hours under general anesthesia. However, this period is prolonged if procedures such as lower and upper eyelid aesthetics, forehead lift, eyebrow lift are performed together with isolated facial surgery.

What are the points to be considered in the postoperative period?

After the operation, the patient stays in the hospital for one night and is then discharged.

Although the pain is not expected, pain can be seen with painkillers. In some cases, drains are placed to be removed after 1-2 days. It is possible to see swelling and bruises on the face. However, it disappears almost completely within 1-2 weeks. The patient returns to his daily life after this period.

The duration of the effective face lift surgeries performed on suitable patients lasts for 8-10 years. However, it is useful to keep in mind that aging continues in the post-operative period.

Tummy Tuck (Abdominoplasty)

It is possible to see excessive weight gain and loss, hormonal conditions, fat in the abdominal area after previous pregnancies, sagging of the skin, formation of skin cracks and laxity of the abdominal muscles. In these cases, tummy tuck surgery is applied.

People with abdominal skin sagging and abdominal muscle laxity that do not improve with proper diet and exercise are suitable candidates for tummy tuck surgery. Abdominoplasty should be seen as an abdominal contouring surgery without losing weight.

Before deciding on tummy tuck surgery, if the patient is overweight, it is recommended to lose weight and fall to the ideal weight. Since the thickness of the abdominal skin is also higher in overweight patients, it is not easy to obtain good results as patients with normal weight. Therefore, diet and exercise are recommended first. Patients who come for sagging after losing weight with exercise and diet are among the most suitable patient group.

How is the surgery done?

When the ligaments between the muscles in the anterior abdominal wall are weakened and torn, separations occur between the muscles. Under the pressure of the internal organs, the abdomen appears protruding and sagging. With abdominal stretching operations, the muscles in the abdomen are tightened, the anterior abdominal wall is narrowed, and the excess fat and skin tissues are removed. With this operation, the location of the sagging belly button can also be changed. Although the cracks in the abdomen are not completely removed with abdominoplasty, most of them are corrected.

Depending on the deformity in the abdomen, it is performed as a total or mini tummy tuck surgery. In total abdominoplasty, it is considered in cases where sagging and fat in the abdomen is evident and abdominal muscles separation is advanced. If the condition of fat and sagging is limited in the sub-umbilical region, then mini abdominoplasty is considered. If the location of the belly is to be changed, there will be scars around the belly and remaining in the underwear area.

Liposuction surgery is usually added to the tummy tuck procedure. In this way, a better appearance is provided.

How long is the operation time?

The average duration of tummy tuck surgery is between 2-4 hours. Depending on the condition of the patient, he is discharged after being kept in the hospital for 1 or 2 days.

What are the points to be considered after the surgery?

In order to prevent the accumulation of blood and fluids called seroma during the operation, drains are placed in the operation area to be removed after 1 - 4 days. In the first few days, less pain is felt with painkillers. As the day passes, the pains decrease and the patient starts to feel better.

Patients are advised to lean forward to avoid tension in the suture line, especially for the first few days, and to sleep with a pillow on the back during sleep.

If the patient does not work in a heavy job, he returns to work after 1-2 weeks on average. However, it is recommended to use corset for 1-1.5 months. It is recommended that they stay away from heavy exercise for 2-3 months.

The swelling in the abdomen completely disappears and the abdomen takes on the desired shape in an average of 6-12 months. After abdominoplasty, patients should pay attention to their weight and avoid excessive weight gain. Patients who are overweight and intend to lose these weights should postpone this surgery until after birth, if they plan to become pregnant in the future after losing their excess weight.

Nose Aesthetics (Rhinoplasty)

It comes to the fore after nasal surgeries, health problems or aesthetic concerns.

Who Can Have Nose Aesthetics?

Rhinoplasty operations can be performed after the end of the person's developmental age. The nose must take its final shape and therefore the development must be completed. In addition, the psychological aspect of this development is examined by expert and experienced doctors.

What is Revision Rhinoplasty?

Performing a rhinoplasty operation for people who have previously undergone rhinoplasty surgery after consulting with their physicians and approval of the physician in cases where they are not satisfied with the result is called "revision rhinoplasty". Since the nose was intervened during previous surgeries, revision surgeries are more difficult than the first nose surgeries.

Some drug use restrictions are required before surgery. In addition, the rules applied in all general anesthesia operations are valid in these surgeries. These rules are conveyed to the patient by the specialist doctor and medical personnel.

How is Nose Surgery (Rhinoplasty) Performed?

Rhinoplasty surgeries are performed under general anesthesia. It must be done in the operating room in hospital conditions with appropriate equipment. Operations are performed with closed or open technique. The operation takes between 1-3 hours.

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After Nose Surgery (Rhinoplasty)

The patient stays in the hospital for one night as a precautionary measure. In some cases, temporary bruising and swelling occur after nose surgery. However, this situation disappears after a certain period of time. If a tampon is placed, the tampon is removed 2-4 days later. 6-8 where bone healing is thought to occur partially. On days, the splints placed on the nose are removed. If open rhinoplasty is performed, improvement is seen by leaving a vague scar.

It is possible to see very slight leaks and slight blockages during the first few days. In the first month, there may be swelling in the nose that may negatively affect breathing due to edema associated with surgery. This swelling is removed with medications recommended by the doctor.

Post-operative start-up time varies according to the technique of the surgery performed, the procedures performed, the recovery potential of the patient, the work done by the patient and the environment in which he lives. If the patients who work on a desk do not care about the appearance of the splints in the nose, they can start work on the fourth day. For very active people, it is recommended to start work between 7-10 days.

Smoking negatively affects the healing process. It is necessary to pay attention to some external factors in the treatment process. It should be protected from sunlight for 3 months. Since there is no incision after closed operations, there is no need to get extra protection against sunlight, but it should be remembered that Sun protection is always important to prevent premature aging of the skin. Certain periods of swimming, running and similar activities are limited according to the procedure and technique. It is recommended to obtain additional information from the doctor about the use of contact lenses and glasses.

Complete recovery after nose surgeries takes place after a period of 3-6 months.

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