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Health Tourism Turkey * HOW WE WORK
You’ve reached us! This is the beginning of a great, healthy and happy period. Now it is time for us to listen to your needs, and understand them correctly.
According to the feedback from our doctors, the most appropriate treatment plan for your needs will be prepared and you will be informed about the best prices.
A professional team will accompany you from the moment you arrive at the airport in Turkey until your treatment is complete.
We offer a free VIP transfer service between the airport and the clinic.
Thinking that our guests would like to meet us and get to know our team closer, we invite them to dinner at one of the most elegant restaurants in Antalya.
You will feel privileged to receive a treatment in one of the most beautiful cities in Turkey.
Rhinoplasty is the most common aesthetic intervention performed in Turkey. Rhinoplasty can change the size of your nose, the width of your nostrils, the angle between your nose and the upper lip, the malformations on the tip of the nose and nasal dorsum. It can also eliminate some breathing problems, and correct congenital nasal deformities.
Due to its position right in the middle of the face, the nose is central to facial balance. Sometimes, even the smallest deformity of the nose is enough to cause the individual to feel bad about his/her appearance. Therefore, rhinoplasty helps eliminate negative thoughts about one’s appearance.
Before opting for rhinoplasty, ask yourself why you want to undergo this surgery and be clear about your expectations. Then discuss these with your doctor. The most suitable patients for rhinoplasty are not those looking for perfection, but those with realistic expectations for the improvement of their appearance.
It is very important to have a good communication with your doctor. During the first visit, your doctor will ask what your expectations are from the surgery. Then, after a detailed examination of your nose and face, s/he will inform you about the possibilities. The structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age and expectations are important elements to take into consideration and discuss with the doctor before undergoing the surgery. Also, age is an important factor for rhinoplasty. It is advisable to delay the surgery until the patient turns 18 years old because facial growth continues until this time.
Rhinoplasty is performed under general anaesthesia and generally takes between 1-3 hours. Closed or open technique may be used during rhinoplasty. While all the incisions are made in the intranasal region in the closed technique, in the open technique, a small incision is also made at the bottom of the nasal tip in addition to intranasal incisions. The technique is chosen depending on the required procedures to be performed and the experience of the surgeon.
After the surgery, to stop bleeding and support the shape of the nose from inside, nasal splints are used for 2 to 3 days. Beside, special bands and plastic splints are used for 6 to 8 days to maintain the shape of the nose.
After the surgery, swelling and bruises may occur around the nose and eyes. However, most of these disappear within 3 to 7 days. The patient is generally discharged from the hospital in 1 to 2 days.
Rhinoplasty requires deep anatomical knowledge on the nose, and expertise based on many years of training and surgical practice. Each surgery is unique to the patient so that the outcome is natural, suitable for the individual’s face and as unrecognizable as possible. Hence, choosing the right surgeon is essential for satisfactory results.
WHAT SHOULD YOU PAY ATTENTION TO AFTER THE SURGERY?
The healing period after rhinoplasty (nose job) requires time and patience. Postoperative care is as important as the surgery, and your active participation is necessary.
1. After the surgery, it may be impossible to breathe through your nose due to splints. Until the removal of the splints, you will have to breathe through your mouth. How long the splints will stay in your nose depends on the procedures performed in the nose.
2. To alleviate the dryness in your mouth caused by breathing through the mouth consume lots of water and light beverages. Do not use a straw.
3. Eat soft food which is easy-to-chew.
4. Use lip balm to keep your lips moist.
5. Do not use aspirin or blood thinners.
6. Sleep or rest with your head at a 30-degree angle. Remind yourself to hold your head up during the day, which will support your normal blood circulation and help reduce the postoperative swelling.
7. Do not blow your nose for cleaning and be careful not to hit your nose against something.
8. While brushing your teeth, be gentle and use a soft toothbrush.
9. After the surgery, avoid strenuous activities and exercises, bending forward, and lifting heavy things (especially your small children) for two weeks.
10. Avoid direct exposure to sunlight for one month and apply sunscreen before you go out.
11. You may feel numb on the tip of your nose and on your upper lip. Numbness will go away within a few weeks.
12. After the splints have been removed, you may clean your nose gently 2-3 times a day. Use a cotton swab after putting some of the prescribed ointment on its cotton part. Do not insert the cotton swab up through your nostril. Irrigate the intranasal area with the nasal spray recommended by your doctor for cleaning.
13. Once the splints are removed, your nose will get congested with the oedema of intranasal tissues and blood clots. This is a normal reaction of tissues to the surgery. Do not blow your nose for two weeks. When you have to sneeze and blow, do this gently with both nostrils open. Definitely keep your mouth open if you have to sneeze.
14. You may be surprised when you see your nose for the first time after the surgery. Remind yourself to be patient and realistic. Do not forget that your nose has undergone a surgical intervention and it will get better over time. Full recovery of your nose may require 6 to 12 months.
15. Following the surgery, do not wear glasses for three months.
Obesity is often described as excessive fat accumulation. The most commonly used measure of body fat is the Body Mass Index. (BM). BMI is calculated by dividing a person's weight in kilograms by the square of their height in meters.
Body Mass Index (BMI) = weight (kg) / height 2 (m2)
BMI <18.5 Under normal weight
BMI> = 18.5 - 24.9 Normal weight
BMI> = 25 - 29.9 Overweight
BMI> 30 Obesity
30- 34.9 Class 1 Obesity
35-39.9 Class 2 Obesity
40 and above Class 3 Obesity (Morbid Obesity)
BMI> 50 Super Obesity
A fat cell is an endocrine cell, in other words, a hormonal system cell, and fat tissue is an endocrine organ. This tissue secretes several substances that affect the body. An increase in adipose tissues or obesity increases the amount of circulating fatty acids as well as inflammatory reactions. This causes insulin resistance, which is the basis for diabetes.
Nutrition is a rather complex process that includes the smell, taste, and warmth of the food, cognitive and emotional stimuli, and metabolic mechanisms that send signals to the brain to start and stop eating. In recent years, it has been discovered that some substances give signals to the brain to eat more.
Due to malnutrition and changing lifestyle habits, obesity rates have increased rapidly around the world after the 1960s, and efforts to stop the increase are still declining today. the excess weight ratio of more than 50% in Turkey, the report said. In other words, one in two people is overweight or obese. With this rate, our country is approaching a peak among European countries. In the US, the situation is even worse. 69% of the population is above normal weight, so two out of three people are at risk of this disease, obesity. Given the food distribution, the burden of the disease is quite severe globally.
It would not be wrong to say that obesity is a disease because various hormones and problem-related mechanisms are involved, including hunger hormones. According to American statistics, more than 112,000 obesity-related deaths occur annually. The big picture of obesity is the basis of more than 30 chronic diseases such as type 2 diabetes, high cholesterol, high blood pressure, gallstones, cardiovascular diseases, fatty liver syndrome, sleep apnea, acid reflux, urinary incontinence, coronary insufficiency, joint. diseases, asthma and other respiratory diseases, birth defects and even various types of cancer.
Unfortunately, overweight patients often face discrimination and bullying. Obesity should be considered as a disease and negative perceptions among the public should be corrected.
The main cause of obesity is excessive food or calorie intake. Unfortunately, fast food consumption, which includes a lot of fat and calories and soda, is very popular among children. In addition, products applied by industry such as carbohydrate-based nutrition and fructose syrup are especially threatening young people.
WHAT IS THE TREATMENT OPTIONS?
Professional weight loss programs often include low-calorie diets, increased physical activity, and behavior modification techniques. However, lifestyle changes alone are not effective and sufficient.
The drug used for weight loss does not play an important role as a medical treatment for obesity in the long run. The appetite-reducing medication may help lose weight initially, but most patients who have applied for weight loss programs without surgical intervention have been observed to regain lost weight within 5 years.
Weight loss surgery, also called bariatric or metabolic surgery, has been practiced as a treatment for people who have been overweight for nearly 50 years. when treatments and diets are not working. The results of our laparoscopic (closed) weight loss surgeries are quite satisfactory.
WHO CAN NOT TAKE WEIGHT SURGERY?
Those who are psychologically unstable and severe eating disorders
Those with serious systemic diseases such as liver cirrhosis, serious respiratory diseases, diseases that increase the risk of bleeding and infection, and serious heart diseases
Patients over 65 years old
WEIGHT RESOURCES SURGERY
Two of the most common surgeries are laparoscopic gastric bypass and sleeve gastrectomy.
Sleeve gastrectomy can be described as a restrictive method and basically involves reducing the stomach. This procedure is performed laparoscopically while the patient is under anesthesia, by making small holes in the abdomen without making large incisions.
The stomach decreases by removing most of it, including the part that releases hunger hormones. The result is a tube-like structure with a volume of 100-150 ml. This is the closest method to human physiology.
Gastric bypass is based on reducing the size of the stomach to reduce food intake and shortening the way the food goes in the small intestine, the way to absorption. This surgery limits both the amount of food taken and absorption.
This procedure lowers the stomach to about 20-40 ml. to reduce food intake. As a result of the operation, food bypasses most of the stomach, duodenum and jejunum, so the absorption of food, especially foods high in calories and sugar, is prevented.
After ingestion, food comes from the esophagus to the small stomach and goes directly into the small intestine. In other words, the food bypasses the parts of the digestive system responsible for absorption, the large stomach, duodenum, and jejunum and passes directly into the small intestine.
This surgery involves sewing one or more layers in the stomach to reduce the size of the stomach without removing any part of the stomach or intestines. Therefore, unlike arm gastrectomy or gastric bypass, the operation is reversible. However, sleeve weight is not as effective as a gastrectomy or gastric bypass for weight loss. People who do not have extremely BMI and do not want an incision in their stomach should prefer this surgery.
METABOLIC SURGERY (For Diabetes)
Loop Bipartition Surgery (Loop Bipartition Sleeve Gastrectomy)
This is a type of surgery performed as a treatment for uncontrolled type 2 diabetes associated with obesity. This surgery involves first creating a large gastric "cuff" or "tube" and then anastomosing part of the small intestine close to the exit of the newly formed stomach. Thus, food and drink pass both normal and short cut. Thus, blood sugar is taken under control and the patient loses weight.
Roux en Y Transit Bipartition (Sleeve Gastrectomy with Roux en Y Bipartition)
This surgery involves creating a large gastric "sheath" or "tube" and removing part of the small intestine. Then the tip close to the large intestine is anastomosed to the exit of the newly formed stomach. The upper end is anastomosed to a point close to the large intestine. Thus, blood sugar is taken under control and the patient loses weight.
Duodenal key or biliopancreatic diversion is a weight loss surgery that reduces the volume of the stomach to greatly restrict stomach intake and absorption. This procedure may be a surgical option for super obese patients with BMI above 50 and those who have already had arm gastrectomy but have lost the lost weight. It can also be recommended for patients with uncontrolled diabetes.
Smile Design is a dental procedure, which involves creating the most aesthetic smile customized for the patient by establishing a harmony of several features such as lips, teeth, and gums. Before performing the procedure, the surgeon makes detailed examination and takes the expectations of the patient into consideration.
How to customize a Smile Design Plan?
In order to find the most aesthetic smile for the individual, s/he is first filmed or photographed while talking and laughing with a focus on the teeth and mouth area. The individual’s teeth and gingival line level are examined. Then a Gypsum model is prepared according to the individual’s measures. Afterwards, the Smile Design Plan is finalized with the patient. Based on the videos, photographs, and the Gypsum model, a mock-up is made on the computer. Thus, the individual can see the result before the procedure is performed.
What may Smile Design involve?
Sometimes “gum lift” with lasers is necessary to arrange gingival levels. In addition, dental laminates, fillings, Empress treatment or bleaching may be required for the most aesthetic smile. If one tooth or more are missing, implants, and sometimes orthodontic treatment, are required. Thus, the whole process may take several sessions depending on the individual’s needs.
ROOT CANAL TREATMENT
The centre part of the tooth is called the pulp and it hosts nerves, blood vessels, and connective tissues. When the pulp is damaged, inflamed, or infected, root canal treatment is necessary. The infection is generally due to tooth decay, or damage to teeth as a result of a trauma. In these cases, the patient has hypersensitivity and pain when biting or chewing, or eating or drinking hot or cold food and drink. Besides, pulp inflammation may cause sudden pain, which may not be alleviated with painkillers.
Medication, particularly antibiotics, taken without medical advice can only stop your pain temporarily. Moreover, long-term antibiotic use causes bacterial resistance and makes the treatment more difficult. If the pulp inflammation is not treated, further symptoms eventually occur, such as pus oozing from the affected tooth, swelling and pain. Another scenario is that the non-treated inflammation may cause “pus-filled sacs”, named abscess, in the root apex and jawbone. This situation can expand and destroy the bone tissue surrounding the roots. Finally, the tooth may need extraction.
Teeth have great importance both functionally and aesthetically since they enable eating and create a beautiful and charming smile. Unfortunately, individuals may lose one tooth or more due to various reasons, and dental implants provide a wonderful opportunity to replace a single missing tooth or several missing teeth.
In this procedure, firstly, titanium screws are placed into the jawbone. Then the required replacement parts are implanted, such as a bridge, crown or denture, which are supported by these titanium screws. Therefore, the teeth function normally as before and the patient acquires an aesthetic apperance.
The shape and purpose of the implants vary immensely. An expert will know which implant will be the best for his/her patient.
In the event of some kind of dental loss, different types of denture prostheses can be used to replace missing teeth and restore the dentition.
Types of Protheses
1. Fixed Prostheses (attached to natural teeth, such as crowns and bridges)
2. Removable Prostheses (complete or partial prostheses)
3. Implant-supported Prostheses (fixed or removable)
4. Expandable Removable Prostheses
Teeth whitening, is performed to bleach teeth to make them lighter.
Causes of Tooth Discoloration
Environmental Causes: Skipping teeth brushing, chromogens and tannins in food and drinks, such as tea, coffee and red wine, etc., bacterial plaque on teeth, trauma to tooth, antibiotics taken during childhood
Genetic Causes: Dark-colored teeth due to genetic factors, amelogenesis imperfecta, dentinogenesis imperfecta, dental tissue diseases, such as fluorosis, and previous dental treatments such as, root canal treatments and amalgam stopping, etc.
Examination and Possible Treatments before Teeth Whitening
Before teeth whitening operation, the dentist must make sure that the patient does not have any caries, gingival recession, gingivitis, or corrosion on the teeth to be whitened. If the patient has one or more of these problems, they should be treated first. Also, the dentist should identify the cause of discoloration beforehand in order to choose the suitable type of bleaching.
Orthodontics involves the diagnosis, prevention and correction of teeth and chin impairments.
Causes of orthodontic impairments
1) Genetic factors
2) Cleft palate and cleft lip
3) Respiratory disorder
4) Oral habits, such as excessive use of pacifiers, or thumb sucking, etc.
5) Early loss of milk teeth
6) Teeth grinding and facial traumas
Importance of orthodontic treatment
Crowded or crooked teeth affect physical and emotional well being of the individual negatively by causing oral health problems and an unpleasant appearance. It is impossible to clean them thoroughly no matter how careful the patient is. Therefore, dental caries and gingival diseases may occur, which in time leads to tooth looses. Hence, orthodontic treatments are performed not only to correct aesthetical problems but also to prevent possible oral and tooth diseases, and ensure ora
IVF can be used to treat infertility in the following patients:
Blocked or damaged fallopian tubes
Male factor infertility including decreased sperm count or sperm motility
Women with ovulation disorders, premature ovarian failure, uterine fibroids
Women who have had their fallopian tubes removed
Individuals with a genetic disorder
What does in vitro fertilization involve?
There are five basic steps in the IVF and embryo transfer process:
Step 1: Fertility medications are prescribed to stimulate egg production. Multiple eggs are desired because some eggs will not develop or fertilize after retrieval. A transvaginal ultrasound is used to examine the ovaries, and blood test samples are taken to check hormone levels.
Step 2: Eggs are retrieved through a minor surgical procedure that uses ultrasound imaging to guide a hollow needle through the pelvic cavity to remove the eggs. Medication is provided to reduce and remove potential discomfort.
Step 3: The male is asked to produce a sample of sperm, which is prepared for combining with the eggs.
Step 4: For fertilization, intracytoplasmic sperm injection (ICSI) should be used. Through this procedure, a single sperm is injected directly into the egg in an attempt to achieve fertilization. The eggs are monitored to confirm that fertilization and cell division are taking place. Once this occurs, the fertilized eggs are considered embryos.
Step 5: The embryos are usually transferred into the woman’s uterus three to five days following egg retrieval and fertilization. A catheter or small tube is inserted into the uterus to transfer the embryos. This procedure is painless for most women, although some may experience mild cramping. If the procedure is successful, implantation typically occurs around six to ten days following egg retrieval.
How successful is in vitro fertilization?
The success rate of IVF clinics depends on a number of factors including reproductive history, maternal age, the cause of infertility, and lifestyle factors. It is also important to understand that pregnancy rates are not the same as live birth rates.
In the United States, the live birth rate for each IVF cycle started is approximately:
60-70 % for women under age 18 to 35
50-55% for women ages 35 to 37
40-50% for women ages 38 to 40
15-25% for women ages over 40
How many embryos should be created or transferred?
The number of embryos transferred typically depends on the number of eggs collected and maternal age. As the rate of implantation decreases as women age, more eggs may be implanted depending on age to increase the likelihood of implantation. However, a greater number of eggs transferred increases the chances of having a multiples pregnancy. Make sure to talk with your doctor before the procedure so you both agree on how many embryos to implant.
How do I choose an infertility clinic?
There are a number of questions to ask regarding the cost and details of specific centers and fertility programs. The pregnancy success rates and lab quality are important .
Some couples want to explore more traditional or over the counter efforts before exploring infertility procedures. If you are trying to get pregnant and looking for resources to support your efforts, please get a contact with us.
The problem of prominent ears is caused by two main factors. First, the ear lobe sticks out too far from the head. Secondly, cartilage fold (antihelix) is absent. These factors may exist together or separately.
Generally, prominent ears become a problem in childhood due to teasing or name calling, which may have a negative effect on the child’s self-confidence. Unlike other organs of the body, the ear reaches adult size around the age of 6. Hence, it is possible to correct the deformities and aesthetic problems of the ear by the age of 6.
This surgery involves bringing the ear lobe closer to the head by shaping the skin and cartilage behind the ear. First, the surgeon makes incisions hidden behind the ear, and then removes excess skin and cartilage. Then s/he increases the fold of the ear to make it look more oblique, and finally secures the final shape with sutures. This surgery is performed under local anaesthesia for adults and adolescents while children may have this surgery under general anaesthesia and operating room conditions.
After the surgery, the patients should use bandage for 2-3 weeks.
There is no need for removing sutures, which are absorbable. The pain experienced is minimal. Patients can return to their normal daily activities after a few days of rest.
Rarely, complications such as infection, healing with a swollen scar (hypertrophic scar), blood accumulation under the skin (hematoma) and recurrence of the ear deformity may occur.
Most women believe that the size of their breasts is very important for a feminine aesthetic appearance.
Some women may have naturally small or asymmetrical breasts. Nowadays, restoring the breasts to the desired size is achievable, and the ideal method is using silicone prostheses. Additionally, this method provides completely permanent results. Breast augmentation is also possible through newer methods, such as fat injection and injection of water-retainer substances, called aquafilling, which are easier to apply but provide non-permanent results.
There are different types of breast implants, which differ from each other in their shapes and the filling material. Today, the most preferred breast implants are the ones filled with silicone gel. They are round or teardrop-shaped and available in various sizes and volumes. The outermost part is also made of silicone with a textured or smooth outer surface.
The size of the implant suitable for the patient is determined after the measurements and detailed consultation with the physician. To discover the ideal size, non-permanent implant can be used during the surgery, and the original implant can be placed after making the final decision.
The patients, especially those over 40 years of age, should have radiological examination of the breast in terms of cysts or other formations before the surgery. This is important to let the patient identify an existing pathology, which provides guidance for the next steps. Breast implants neither increase the risk of breast cancer, nor interfere with breast examination, follow-up and mammography imaging.
The major undesired complication related to breast augmentation procedures performed using silicone implant is capsular contracture. The body perceives the silicone implant as a foreign material, and may react against it over time. Thus, a membrane, called capsular contracture, may form around them. This condition may lead to stiffness and malformation in the breasts. When the reaction is mild to moderate, it netiher causes too much discomfort for the patient, nor creates impairment in appearance. It can also be removed by external massage or sometimes by additional surgical interventions. If the capsular contracture is severe, the implant may need removing. Rates of rupture are low because the implants are made with highly cohesive material. Sometimes, incidents like traffic accidents may cause compression and rupture of the implant.
The surgery involves general anaesthesia. An incision of approximately 3 to 4 cm is made on the inframammary line and a gap is prepared where the implant is inserted. The implant can be placed directly under the breast or under the muscle; or some of it under the muscle and some of it under the breast. Depending on the breast tissue of the patient, the surgeon determines the area of placement. The incision can be made under the nipple, under the breast fold, or under the armpit.
After the surgery, the patient may have difficulty in moving her arms and a slight pain for a few days, but the discomfort is quite minimal during the healing period. Patients can usually return to work within 5 to 7 days. Wearing a compression bra is recommended for up to 6 weeks. Patients should also avoid strenuous physical exercises. Generally, the patients are highly pleased with the outcomes of the surgery, which is psychologically healing.
As years go by, the eyebrows may sag due to several factors such as gravity and the loosening of the tissues. This may cause the individual to have a tired and sad facial expression.
When this is the case, botox injection, a temporary procedure, is the simplest brow lift technique. Please see the Botox section for detailed information.
One of the other methods is brow lift with suture, which requires local anaesthesia. However, this method has some disadvantages. Its effect may not be permanent it the long term and asymmetries may develop over time. Hence, it is not preferred very often. A more effective and permanent method is to surgically release the tip of the eyebrow by making an incision of 2 to 3 cm from inside the scalp and to fixate it to the temporal muscle membrane at a higher point.
If signs of aging accompany eyebrow sagging on the entire forehead, endoscopic forehead lift should be performed. In this technique, small incisions are made on the scalp and the entire forehead is released with the help of a camera. Then it is fixated to the bone at a higher point.
The ligaments, which hold the breast up, loosen naturally as the years go by. In addition, the factors such as pregnancy, breastfeeding, excessive weight loss, and gravity also cause the breasts to sag. Thus, the nipple move downward and the upper pole loses fullness.
The breast lift surgery involves lifting the nipple to where it should be to reshaping the sagging breast. The surgery, which takes around 2 to 3 hours, is performed under general anaesthesia. The size of the incisions made on the breast may change according to the extent of sagging. If the sagging is mild, an incision only around the nipple will be enough while a 5-cm incision downwards from the nipple will be required with more severely sagging breasts. In the beginning, scars may be noticeable, pink and swollen, but they will disappear over time.
Usually no pain is experienced after the surgery. The drains are removed within 1-2 days. The sutures do not need removing thanks to the absorbable suture material used. Wearing a compression bra-corset and avoiding strenuous exercises are recommended for 6 weeks. As long as the patient does not go through a considerable weight change, pregnancy and breastfeeding, the results of the surgery will be long-lasting. However, otherwise, the breast may sag to some extent again.
The signs of aging show up first on the eyelids, which have the thinnest skin of the body. The skin on the upper eyelid sags in time with the effect of gravity. Also, wrinkles start to show and eye bags develop. These give the individual a tired, sad and old expression. Besides, the excess skin may cause visual field restriction, which poses a functional problem.
Individuals over 40 years of age with saggy upper and lower eyelids or eye bags may think about having the surgical correction. With this surgery, called blepharoplasty, the excess skin and fat tissue on the eyelid are removed.
In the procedure, the surgeon hides the incision in the natural fold of the upper eyelid. The excess skin and fat tissue are removed, so the existing membrane in front of the fat tissue causing herniation is strengthened. Also, for the lower eyelid, incisions can be made just below the eyelashes. In younger patients, whose problem is the under-eye bags only, it is possible to make this incision inside the eyelid.
The operation requires local anaesthesia or sedation. Patients are generally discharged on the same day. Sutures are removed in 5 days. Patients can get back to work 3 days later. 2 weeks later, they can start to wear their contact lenses. Generally, the eyelids are the areas where the scars start to disappear fastest, so they are barely visible in about 6 months.
If too much skin is removed, the surgeon has difficulties closing the incision, and lasting scars may occur. While excessive removal of the fat tissue may cause pitting in the upcoming years, its inadequate reconstruction may lead to recurrence of the under-eye bags. If the surgeon fails to provide the support for the lower eyelid, the eye corners may become rounded, or the white of the eye (the sclera) start to show excessively.
The inner parts of the legs have a soft and loose structure, so they may sag comparatively quickly. The thigh (leg) lift surgery corrects this undesired appearance by removing the excess skin and fat tissue to lift the leg up.
The surgeon makes an incision from the inner surface of the thigh along the inguinal line to remove the excess tissue. According to the severity of the deformity, the size of the incision changes. After the lifting procedure, a contour correction which involves liposuction may be performed for other parts of the leg.
The sutures do not need removing thanks to the absorbable suture material. The patient is generally discharged the next day, but should move in a restricted range for 2 to 3 weeks. Massage and wearing a corset are recommended for 4 weeks so that the skin settles evenly.
Abdominal lift surgery, in other words abdominoplasty, removes excess fat and sagging skin tissue in the middle or lower area of the abdomen so that the abdominal muscles are tightened and strengthened.
The ideal patient for abdominal lift surgery has sagging abdominal tissue while overweight people are not suitable candidates for this surgery. Such individuals should first lose weight with diet and exercise, and then think about having an abdominal lift surgery for remaining sagging tissues. The ideal candidates for this surgery are those who have weak abdominal wall muscles, loose skin and stretch marks on the abdomen due to giving birth. In short, abdominal lift both removes the excess cracked skin and supports weakened abdominal muscles.
Abdominal lift surgery is performed under general anaesthesia. The incision extends between the two pelvic bones and it is hidden in the lower fold line of the abdomen. Another incision is made around the belly to remove the skin and fat tissue under the belly. Abdominal muscles are tightened and repositioned. The skin is stretched downward and the remaining skin is pulled together and stitched back in place. To prevent blood accumulation inside, two drains are located, which are removed in 3 to 4 days. 2 nights in the hospital will be enough for the patient. The patient should use a corset for up to 6 weeks and take it easy for a few weeks to avoid putting strain on the stitches.
Patients should not smoke for two weeks before and two weeks after the surgery. Patients are also recommended to take a break from vitamin E and aspirin at least one week prior to the surgery.
To correct the body contour, abdominoplasty can also be combined with cosmetic breast surgeries, liposuction or some other surgeries, such as uterine and ovarian surgeries, etc.
It takes about 2 to 3 weeks for the patient to return to work. The surgical scars may be noticeable, pink or swollen in the first few months. Then they will get hardly visible over time. While pregnancy is possible after the surgery, it is better to postpone it to after the delivery to get permanent results. As long as the weight of the patient does not change drastically, the results of abdominoplasty provides pleasing, and long lasting results.
As a result of weight loss surgeries such as sleeve gastrectomy, or excess weight loss through dieting, the loose skin in the body may not recover enough and sag. After weight-loss surgeries, patients should wait for at least 18 months so that their weight get stable before undergoing a plastic surgey.
In the cases of individuals who lose weight considerably, sagging is generally seen in areas such as face, neck, breasts, arms, abdomen, hip, genital region and thighs. The skin folds in the sagging areas are prone to development of rash and fungal infection, which is highly irritating for the patients. The sagging skin also shows from the clothes and causes social concerns.
COMMONLY COMBINED COSMETIC SURGERIES
AFTER WEIGHT LOSS SURGERY
Face and Neck Area: Conventional face lift and neck lift or mini face lift procedures may be necessary depending on the severity of sagging.
Breasts: Breasts lose volume and fullness after weight loss. Hence, breast lift surgery may be performed to correct sagging, and sometimes breast implants are also necessary. It is possible to perform these two operations, which is to the advantage of the patient.
Abdominal Area: Abdominal lift surgery may be necessary for a smoother and firmer abdominal profile. If the patient also has sagging hips and hipline, hip lift surgery can be performed in the same intervention.
Arms: Arm lift surgery can correct sagging in the arms.
Hip-Hipline: Due to drastic weight loss, the hip loses volume, flattens and sags. In this case, hip lift is necessary to pull the skin all around this area up like "pulling up the pants" and to remove the excess skin. In order to give more volume to the hip, the removed portions may be implanted into the inner part of the hip during this procedure.
Thighs: If the patient has a problem with sagging in the inner thighs, thigh lift surgery is the solution.
Genital area: The relevant surgery can correct the sagging in the genital area and provides a natural look.
These surgeries can be performed in 2 or 3 sessions in an order based on the patient’s priorities.
The number of fat cells in the human body increases only until the age of 4, then stays stable. This means that it is the volume of the fat cells which increases when an adult gains weight, not their number.
The first way to lose weight for overweight patients is diet and exercise. However, even if an individual reaches his/her the ideal weight, fat can accumulate disproportionately in some parts of the body and causes this parts to look larger than the desired size. Generally, the hips, waist, abdomen, inner thighs and knees are the areas that need additional treatment to dieting for fat loss. Liposuction is the ideal method to achieve fat loss in these areas.
Liposuction involves the removal of excess fat with the help of a special system. First the surgeron makes incisions of about 0.5 cm. Then a thin tube called cannula is inserted through the incisions, which breaks down and loosens the fat with controlled back and forth motion. Then a vacuum connected to the cannula suctions the fat. Hence the number of fat cells is permanently reduced.
The cannulas are available in different diameters to fit different parts of the body. Thus, the surgeon can easily reach the fat cells everywhere in the body. This surgery is performed only as a method of correcting the contour of the body, not that of weight loss.
After liposuction, massage therapy is generally recommended to make the remaining fat tissue look smooth under the skin and to avoid indentations and bulges. Also, the experts recommend wearing a liposuction corset for up to 6 weeks.
If the patient does not problems with wound healing, the incision scars heal over time and become unnoticeable.
Liposuction provides everlasting results since it permanently decreases the number of fat cells. However, if the individual gains weight, the areas treated with liposuction may get larger again due to an increase in the volume of the remaining fat cells. Hence, the patient should embrace a healthy life style by having a balanced diet and exercising regularly to maintain the results of liposuction.
In the process, some technological advances significantly contribute to facilitate the removal of fat. These are:
1. Infiltration pumps: These liquid pumps are used to inject a solution into the fat removal (liposuction) area in a more regular and rapid way to facilitate the breakdown of fat. Hence, the surgeon can perform the procedure without blood and the patient does not experience pain.
2. Vaser: This device gives ultrasonic energy to the application area after the injection of the solution. This allows the fat to be removed more effectively, and helps the skin tighten more easily.
3. Laser (Smartlipo - Slimlipo): The laser destroys the fat cell membranes so that the fat is liquefied. Then the fat is suctioned easily.
4. Vibrolipo: In this method, a vibrating cannula is used during the liposuction procedure.
With age, face may sag due to the effects of gravity and aging. Loss of elasticity and collagen on the face over the years brings along sagging cheeks and jowls, wrinkles, and partial indentations and bulges, which cause a prematurely old appearance, as well as a tired and sad expression.
Face lift surgery is performed to tighten the facial ligaments and remove excess skin causing sagginess on the face. If the sagging is mild, non-surgical procedures may be applied to correct the problem easily. However, if the sagging is severe, face lift surgery is recommended. Additionally, in some cases, fat injection, and eyelid cosmetic surgery may also be necessary.
In this surgery, the incisions are hidden in the hairline, ear line and behind the ear. The incision begins in the temple area above the ear inside the hairline, and continues along the front of the ear towards behind the ear. If the patient is young with mild sagging, posterior ear incision will not be necessary. During the surgery, the skin of the cheek is lifted, and tightening sutures are made on the underlying tissue, called SMAS (superficial muscular aponeurotic system) consisting of the facial muscles. Afterwards, the surgeon removes the excess skin tissue and closes the incision with fine sutures. This operation lasts about 3 to 4 hours, and the patient is discharged in1 to 2 days. The drains put to prevent blood from building up near the incisions are removed within 1 to 2 days. After the surgery, the patient will have bruises and swelling on his/her face. For this, using a special mask is recommended for 2 weeks until this oedema dissolves. Mild asymmetries may be observed on the face due to oedema and nerves which become tense during the surgery. These will spontaneously disappear within 4 to 5 days. Sutures do not need to be removed thanks to the self-absorbable material. A hardly visible scar remains on the incision areas. Depending on the skin type, the visibility of the scars change. For example, they are less noticeable in light-skinned patients.
Although rare, complications may develop, such as bleeding or accumulation of blood under the skin, malnutrition in the end tissues on the incision borders and loss of sensation in the face and neck skin, injury of some of the branches of the facial nerves and loss of mimics, etc.
If the patient is chosen carefully and appropriately, face lift surgery provides good results which other methods cannot. Although the new facial shape will change slightly due to ageing, the result will be permanent for many years.
Face lift surgery is based on tightening of the facial ligaments and removal of excess skin causing sagging on the face. Although mild sagging and aging can be treated by using non-surgical procedures, face lift operation or face lift operation combined with fat injection, eyelid cosmetic surgery is recommended for advanced sagging.
In this surgery, the incisions are planned so as to be hidden in the hairline, ear line and behind the ear. The incision beginning from the inside of the hair is advanced along the front of the ear and behind the ear. If the patient is young and the extent of tissue sagging is moderate, the operation may be completed without posterior ear incision. The skin of the cheek is lifted and tightening sutures are made on the underlying tissue, called SMAS (superficial muscular aponeurotic system) that involves the facial muscles. Afterwards, the excess skin tissue is removed and the remaining tissue is sutured. Such an operation lasts about 3-4 hours. The patient is discharged 1-2 days later. The drains placed to prevent blood accumulation are pulled out within 1-2 days. After the surgery, there will be bruise and swelling on the face. A special mask is used for 2 weeks until this oedema dissolves. Mild asymmetries may be seen on the face due to tensed nerves during the surgery and oedema, these will spontaneously heal within 4-5 days. There is no need for suture removal since a self-absorbable material is used for sutures. Depending on the skin type of the individual, a hardly visible scar remains on the incision areas. These scars are less noticeable in light-skinned patients.
Although rare, complications such as bleeding or accumulation of blood under the skin, development of malnutrition in the end tissues on the incision borders and loss of sensation in the face and neck skin, injury of some of the branches of the facial nerves and loss of mimics may occur.
In properly selected patients, face lift surgery provides good results that cannot be obtained with other methods. Although the new facial shape undergoes mild changes due to ageing, the result is permanent for many years