Plastic Reconstructive and Aesthetic Surgery

What is Plastic Surgery?

The real name of the specialty that people often know as “plastic surgery” is “Plastic, Reconstructive and Aesthetic Surgery” (shortly PRAS) and it can be expressed as “reconstruction, repair and aesthetic surgery”. Professionals of this branch do not only target “beauty”, but also diagnose, treat and follow up related health problems.

What Treatments does the Plastic Surgery Include?

PRAS branch involves maxillofacial and craniofacial surgery (correction of congenital or acquired deformities of facial bones and skull), microsurgery, hand surgery, trauma surgery, surgery for other congenital disorders (e.g. cleft lip-palate deformity, finger deformities), surgical treatment of burns, cancer surgery (skin and soft tissue cancers), aesthetic surgery applications, cosmetic applications, and has a wide range of surgeries.

Does it Include Treatment of Breast Cancer? Is It Possible to Reconstruct a Breast After Removal of the Breast?

Breast cancer is treated by general surgery specialists and oncologists. After partial or complete removal of the breast, it is the specialty of plastic surgeons to reconstruct the breast, and it is definitely possible.

In these surgeries, silicone filled prostheses, serum-filled prostheses and the patient’s own tissues are used.

Treatment is planned according to the stage and type of cancer in patients diagnosed with breast cancer. Once the treatment has been determined, breast reconstruction may be performed concurrently with the removal of the cancerous breast or may be performed after the cancer treatment is completed. The most ideal time and method of the breast reconstruction surgery for the patient is determined by the plastic surgery specialist according to the cancer treatment plan and the characteristics of the patient.

What is an Anti-Wrinkle Injection? What does it do? To Whom It Cannot be Administered?

Anti-wrinkle injection is the form of a toxin produced by a bacterium that is processed in a laboratory environment. It works by preventing the contraction of the muscles to which it is applied and its effect is temporary (around 4-6 months). It is applied especially for the smooth the wrinkles on the face (forehead, eyebrow, around the eyes, back of nose, around the mouth, etc.), and it is also applied in the treatment of sweating, migraine, various muscle spasms and many other pathologies. In terms of cosmetic use, it is particularly effective in patients with (dynamic) wrinkles on the face caused by facial expressions. With anti-wrinkle injections alone, it is not possible to smooth the wrinkles in very old people with deep wrinkles and saggy skin. Anti-wrinkle injections which do not have significant side effects after cosmetic applications if applied correctly by specialist doctors should not be applied to people with allergies, pregnant women and nursing mothers, and people with some muscular diseases and people who use drugs that can interact with anti-wrinkle injections.

What is Rhinoplasty?

Rhinoplasty surgery is the operation performed for aesthetically correcting the shape of the nose and bringing it to optimal dimensions suitable for the patient’s face. I would like to particularly point out that the ideal shape of the nose has some common features, yet may not be the same for every patient, and it may vary depending on the patient’s sex and facial features.

What to do if you want to have a rhinoplasty?

As in all cosmetic surgeries, the patient should clarify the deformities that the patient is not satisfied with and wants to change and their demands for change should be realistic. Natural beauty cannot be achieved with extreme and marginal interventions.

The patient is interviews by the doctor and informed in detail about the changes to be made and the possible complications.

When the patient finally decides to undergo the surgery, examinations are performed for general health status. The anesthesiologist thoroughly evaluates the examination results and the patient and indicates in writing that the patient may undergo the operation in the absence of any medical conditions that may hinder the operation. Then, the surgeon schedules the day of surgery of the patient. (Anesthesiologists make sure that patients sleep unconsciously and painlessly during the operation and wake up at the end of the surgery.) All these preparations can be completed in 1 day for patients without any medical conditions.

What to pay attention to after rhinoplasty?

After the nose surgeries, the surgeon’s recommendations should be followed and the things that the doctor advises to do (such as massaging, not wearing glasses, applying salt water, etc.) should be applied. Follow-up controls should not be neglected.

Can rhinoplasty surgery be performed along with other procedures on the face?

Rhinoplasty surgery can be performed along with a variety of different procedures on the facial area. Some of these are fat injections, filling material & anti-wrinkle injections, and aesthetic jawbone operations.

Who should not undergo rhinoplasty?

Patients who do not know for sure what they want and who cannot fully describe the deformity they want to change, who have extreme or marginal wishes, and who want to be operated on for secondary gain even if they do not have any deformity (e.g. to get a sick leave) should not be operated. Furthermore, patients should not have plastic surgery for purposes of competing in social circles.

What are filling materials?

Today, a large number and variety of filling materials are used. The most commonly used filling material is Hyaluronic Acid, which is naturally found in our body; and it is the most frequently used and reliable filling material among artificial substances.

The most reliable filler is the fat tissue grafted from our own body.

Although it is very rare, artificial filler injections may have side effects, such as allergic reactions, foreign body reactions, infection, tissue necrosis and wound opening, and undesirable but correctible conditions, such as contour irregularities.

What is breast augmentation?

Before having breast augmentation surgery, patients most often suspect and question the safety of the silicone prostheses. I would like to note that 290,467 patients underwent breast augmentation in the United States only in 2016. Therefore, we can say that breast augmentation surgery with silicone prosthesis is very reliable in the light of today’s information.

After the patient is examined and evaluated by her doctor after application, she is informed about the features of the prosthesis to be used and the details of the operation and possible negativities. After the patient makes a final decision to have the surgery, the preparation process starts. During surgery, an entrance incision is made in the most ideal area for the patient (either one of armpit, lower periphery of the nipple, lower breast fold and belly hole is preferred.), and the cavity where the prostheses will be implanted is created at the ideal depth (under the breast, under the membrane or under the muscle). After the cavities are ready, silicone filled prostheses are placed in the cavities and the entrance incisions are closed. Silicone prostheses used in breast augmentation surgery do not have a certain life. They do not need to be removed unless a postoperative early or late complication develops and they do not melt or disappear by themselves. If the sheaths of the silicone prosthesis are damaged (may be caused by a piercing or sharp object injury), the gel-like silicon inside the prosthesis might flow into the tissue, and if this is detected, the prosthesis should be removed.

What is liposuction?

Liposuction is the process of mechanically braking up the fat tissue using special pipes of different diameters and vacuum machine or large injectors, and suctioning and reducing the fat tissue using the device. It can also be applied by heating and breaking up the adipose tissue with laser, ultrasonic or infrasonic (sound waves) technologies. It can be applied to anyone who has no obstacle to surgery and who has excess fat tissue in any area of ​​their body. However, it is not a method of weight loss.

Is removal of moles harmful?

Removing moles is definitely not harmful. In fact, the best treatment for harmful moles is surgical removal. There are no other drawbacks, except for scar, of removing benign or malignant moles; and particularly after removal of moles in the facial region, the scars are quite barely noticeable. Therefore, especially those who have skin moles recommended to be taken by the dermatologist or who themselves want to have their moles removed at their own request should visit plastic surgeons.

What is buttock augmentation?

Buttock augmentation-lifting (gluteal augmentation) surgery is often performed using appropriate silicone prostheses or by fat injection, but it can also be performed by cutting and shifting the tissues of the upper gluteal region to the gluteal region of relatively old and suitable patients. In a small number of patients, sagging buttock can be lifted with the meshing method using surgical threads or special mesh threads; however, the effect is short-lived due to heavy load and gravity. Patients who feel that their buttock area is not plump but small may have these operations. Patients may return to their daily lives within 3-5 days, depending on the method applied.

Plastic surgery is used to reshape normal body structures, and reconstructive surgery is applied to congenital or subsequent abnormal body structures as repair surgery.

  • Hair, beard, mustache transplantation
  • Facial operations
  • Nose aesthetics
  • Dimple aesthetics
  • Forehead and eyebrow lifting
  • Breast augmentation, reduction and gynecomastia surgery
  • Arm, leg and abdominal stretching aesthetics
  • Liposuction
  • Fat injection
  • Genital and buttock aesthetics
  • Postpartum aesthetics
  • Scar-free face lift
  • Salmon DNA, PRP, Botox, Filler, H100 vaccine and all cosmetic applications effective in the field