Plastic and Reconstructive Surgery
It is possible to divide this branch of surgery into “plastic and Reconstructive” Surgery and “Aesthetic” Surgery.
Plastic and reconstructive surgery (reconstruction and repair surgery)
It is also possible to call plastic and reconstructive surgery reconstruction and repair surgery. In general, it is a surgical branch that tries to eliminate congenital or subsequently acquired abnormalities, disorders of shape and function.
His main interests are:
- Cleft lip and palate
- Deformities of the jaw, face and head bones
- Auricle disfigurement
- Nasal defects
- Disorders caused by traffic accidents, tumors and other causes
- Absence of breast, asymmetry, or excess breast tissue
- Breast reconstruction after cancer
- Gynecomastia (large breast in a man)
- Repairs of Genital organs, replantation of severed organs
- Hand surgery (finger transfers, finger breaks, etc.)
- Skin and soft tissue tumors
- Deformities formed after acute burns and burns, damage caused by electrical and chemical substances to soft tissues
- Wounds formed on the skin and under the skin by various infections, radiation and other effects
- Chronic wounds
- In addition to classical surgical methods for treatment, microsurgery, laser systems, endoscopy can benefit from various chemical agents and drugs.
Plastic Surgery ( Cosmetic Surgery)
Plastic surgery is a side branch in it. Aesthetic (or cosmetic) surgery deals with operations and attempts to ensure that body image is more beautiful and perfect. There are more aesthetic problems here than a medical problem.
Plastic surgery requires a long training and experience. Such operations require both surgical and artistic ability.
In plastic surgery, not always aesthetics, but sometimes medical problems are solved. For example, surgical correction of an excessively fat torso or giant enlarged breasts solves both medical and aesthetic problems together.
Areas of interest in Aesthetic Surgery include:
- Aesthetic and functional nose correction (rhinoplasty, septorinoplasty)
- Facial reconstruction (face lift – revision of eyelid and mouth area, treatment of wrinkles)
- Face and forehead lift
- Eyebrow removal
- Eyelid aesthetics
- Correction of other aesthetic problems in the scoop ear and auricle
- Chin augmentation and reduction operations
- Removal of scars and irregularities on the skin,
- Hair transplantation
- Laser applications
- Aesthetic breast operations: augmentation, reduction and lift
- Operations to reduce excess fat tissue (liposuction-lipectomy)
- Tummy tuck (abdominoplasty)
- Skin care and initiatives
With Botox application, the desired result can be achieved by lifting the outer parts of the eyebrows into the air.
Another preferred method for raising eyebrows is the method of raising eyebrows with a hanger. It is a very simple and quickly applicable method. It can be done with local anesthesia. By passing through the hair and over the eyebrow with the help of needles, the eyebrows are removed as much as possible. The effect continues for up to 2 years.
Eyebrow stretching with surgery is a method that shows permanent results. Brow removal surgery alone can also be performed with local anesthesia. The operation can be performed in the temple area, through the scalp, and in the form of liberating the skin area up to the eyebrow from the underlying tissues, as well as by endoscopic method. In endoscopic eyebrow lift, the video, called endoscope, is placed inside 3-5 small incisions that open to the scalp. In this way, the surgeon can work by seeing the inside of the forehead thanks to the endoscope. It performs the operation by inserting surgical instruments through other holes.
Face lift (cheek, neck lift)
A face lift is a surgical method that serves to remove sagging, wrinkles due to aging on the face by stretching and hanging.
As a person ages, the skin of the face sagges, wrinkles, various spots and irregularities occur under the influence of years, sun rays, daily stresses and other factors (smoking, drinking, malnutrition).
Face lift-renewal operations remove sagging and irregularities in the skin of the forehead, face and neck; excess adipose tissue in the cheek and neck is removed, facial tissues are reinforced, eyelids are corrected.
Eyelid Aesthetics (Blepharoplast)
With age, with the effect of gravity and the muscles, loosening the skin of the upper and lower eyelids, excess, sagging occurs, and with it, especially with the herniation of fat in the lower eyelids may be torbalanma. In addition to the fact that this condition causes an aesthetic appearance disorder, it can prevent a person from seeing by closing the front of the eye with the drooping upper eyelids.
Aesthetic eyelid surgery removes excess skin and-or excess fat mass. In this way, a beautiful appearance is obtained and the person is comfortable to see. A mark remains on the upper eyelid along the lid. But since this trail will fit into the fold of the lid, it is only visible when viewed very closely. On the lower lid, a scar remains just below the eyelashes, allowing the continuation to stand on the side like a normal skin line. Eyelids are the least scarred area of the human body.
Aesthetic nose surgery (rhinoplasty) or nose reshaping surgery is the most commonly performed of plastic surgery operations. Aesthetic nose surgery can reduce or enlarge your nose, change the shape of the tip or arch of the nose, narrow the width of your nostrils, or change the angle between your nose and your upper lip. It can also correct a congenital or injury-related disfigurement or fix some problems with your breathing.
Fat injection ( for lip, cheek and facial contours)
With fat injection, it is possible to correct wrinkles and depressions on the face and make the facial contours even more pronounced. Fat used in fat injection is taken from the abdomen or legs. The procedure is usually performed with fine cannulas and special needles under local anesthesia. There may be Minimal swelling and bruising, but it is temporary. After the procedure, the person returns to his normal life.
Filler injection can be done to remove wrinkles or correct lines.
It is usually done on the lips, different areas of the face for the treatment of fine lines and deep wrinkles, on the upper side of the neck and chest wall. It can also be done on the hands to remove wrinkles on the back of the hand, under the armpits to stop sweating.
Over time, without leaving the body, the filler does not leave any side effects and does not cause any harm to human health.
Although the application varies depending on the region, it can be permanent for up to 8 to 12 months.
Scoop Ear Surgery
It is one of the developmental anomalies of the auricle. It can be in different ways, from light to heavy. The cause of scoop ear anomaly is changes in ear cartilage when planning scoop ear aesthetics surgery, it is necessary to correctly determine the cause and make interventions for the cause.
Scoop ear surgery) can be performed from the age of 6.
Since the operation is performed behind the ear, no surgical scars are visible from the outside. The patient is discharged on the same day and sent home.
Cleft Palate And Lip
A long time before the child is born, in the first weeks of development, the left and right edges of the lip and the palate form together. However, one normal reunion does not occur in about every 1,000 babies. Because the lip and palate develop separately, clefts of the lip and palate can be seen in various variations.
Significant progress has been made in the treatment of children born with cleft lips and palate, and there are no obstacles for most of you to live a normal, healthy and happy life.
The tip of the jaw may be smaller or larger than normal. Both deformities lead to pronounced aesthetic distress. Genioplasty operations are operations aimed at changing the appearance of the tip of the jaw. With these operations, the size and length of the jaw tip can be increased or reduced. In other words, the tip of the jaw can be reshaped in accordance with aesthetic norms.
Breast reconstruction after breast removal due to a tumor or other disease is one of the most successful operations of plastic surgery. Thanks to new technologies in medicine, surgeons can now create a breast that is very similar to a natural breast.
Currently, these operations can be performed simultaneously with breast removal surgery (mastectomy). In this way, the patient has a new breast when he comes out of surgery and also gets rid of the psychological distress that a period without a breast can give. But it should be borne in mind that breast reconstruction after mastectomy is not a simple operation.
Aesthetic breast reduction surgery appears to be one of the cosmetic operations performed to correct the appearance of a woman, but it is actually a reconstructive operation, not an aesthetic one. A saggy breast due to size can cause back and neck pain in a woman, can lead to hump. There may be numbness due to the pressure of the bra on the arm nerves. Breathing may be difficult. As a result of constant friction between the breast skin and the breast skin, there may be diaper rash in the groove under the breast, wounds can be opened. Daily physical activity may be limited. In addition, large breasts create difficulties in choosing clothes, while the woman’s lack of self-esteem also causes social and psychological problems.
A surgery to be performed for the purpose of breast reduction gives the breasts a natural appearance, the problems listed above are eliminated, the person’s life becomes easier.
Breasts are structures that complement the physique in the appearance of the woman’s body. Breast volume occupies an important place in measurements of shoulder width, chest circumference, waist and hip circumference. In these measurements, when the breast volume is small, the appearance of the body contour remains incomplete. Breasts can be small for different reasons structurally. One can be smaller, asymmetrical than the other. Naturally, one may not be at all.
In order to make both breasts equal or increase their volume, the most valid method today is silicone prostheses. Partial breast enlargement can be achieved by removing adipose tissue from the person. But oil filling is not a completely permanent method.
Breasts can become saggy for various reasons. The ligaments that hold breast tissue in place may loosen over time. Depending on weight changes, breastfeeding, and the effect of gravity, there may be a mismatch between breast tissue and the skin envelope that surrounds it. The problem can be breast tissue, skin, or both. As a result, a saggy breast can appear, which looks almost hollow.
It is possible to surgically correct whether the nipple is introverted or decadent. This problem, which prevents both breastfeeding and aesthetic appearance, is corrected by placing the nipples in an anatomical position with local anesthesia.
Liposuction is an operation in which fat deposits in certain areas of the body are absorbed by a special vacuum or special injectors. It is definitely not a slimming surgery, but a body lines correction surgery. This surgery increases the volume, diet and exercise-resistant adipose tissue is removed from the body, while the number of available fat cells is reduced.
In recent years, ultrasound energy has started to be used. In this method, excess fat tissues are broken down by ultrasound waves, then taken similarly by vacuum.
It has become possible to vacuum fat deposits in many areas of the body, such as under the chin, cheeks, neck, upper inner side of the arm, breasts, chest, abdomen, waist, hip, thigh, inner side of the knee, back of the leg.
No more than 4-5 liters of fat can be taken without disturbing the patient’s balance and body functions. But there are also more areas giving fluids and blood. Here is the surgeon’s choice. If the patient’s areas are wide, surgery can be performed again at intervals of 3-6 months. In patients with excessive obesity, called Morbid obesity, taking the necessary precautions has become feasible to take up to 28 liters of fat in one session.
Tummy Tuck ( Abdominoplasty)
Abdominoplasty is a surgical procedure in which excess fat and saggy skin tissue present in the middle and lower abdomen are removed and the abdominal muscles are stretched and strengthened.
Correction Of Gynecomastia
Gynecomastia is a greater amount of breast tissue in a man than usual. It occurs with an excess of estrogen activity and usually bilaterally.
Gynecomastia, physiologically, can be observed in the newborn period, the age of transition to adulthood and old age without any pathological reasons. Infancy and transition to adulthood are often temporary. Hormone disorders, cirrhosis, malnutrition, thyroid diseases, some tumors, some drug use can also cause pathological gynecomastia. Stopping these drugs can also provide improvement.
If there is treatment, the underlying cause is tried to be corrected. Usually, no known reason can be found. It is known that some drugs and low-dose radiation therapy in some special cases are effective in treatment.
The main permanent treatment of gynecomastia is surgery. In surgical treatment, liposuction and surgical removal, usually under general anesthesia, can be used either separately or together.
Cooling is applied to all burn wounds. At the next stage, various operations are performed according to the depth of the burn.
First-degree burns are usually left open and a cream with local topical antibiotics is applied. No closed dressing. First-degree burns heal within 7-10 days.
Second-degree burns heal within 2-3 weeks. Deep second-degree burns heal a little later. After washing the burn wound with serum physiology, it is closed either with one of the long-term closing materials. Or a closed dressing is performed by changing it every day using one of the burn pomades.
For third-degree burns, a treatment method is followed in the form of protecting eschar tissue from infection or treating my entrenched infection during the period leading up to surgery.