Plastic and Reconstructive and Aesthetic surgery

PLASTIC AND RECONSTRUCTIVE AND AESTHETIC SURGERY DEPARTMENT

The Department of Plastic Reconstructive and Aesthetic Surgery was established in 2001 by Prof. Dr. Mustafa Asım Aydın.

Our department has 1 outpatient clinic, a service with 25 beds and 2 operating rooms.

PLASTIC AND RECONSTRUCTIVE SURGERY (RECONSTRUCTION AND REPAIR SURGERY)

Plastic and Reconstructive Surgery; It is a branch of surgery that tries to eliminate congenital or acquired anomalies, deformities and dysfunctions and to correct body image. Plastic is a word that comes from the Greek "plasticos" and means "to shape", "to fit into a mold". Reconstructive is a word of Latin origin and means "to remake".

Plastic and Reconstructive Surgery deals with all kinds of surgical problems that occur on the entire body surface. Events that disrupt the shape and functions of the body may be congenital, traumatic or acquired. For example; congenital cleft palate-lip, conjoined finger (syndactyly), vascular masses (such as hemangiomas); traumatic burns, facial injuries due to traffic accidents, various incisions and organ ruptures; various acquired skin and soft tissue tumors, chronic wounds are within the scope of this surgical discipline. Losses, deformities, pathological events (tumors, cysts, infections, etc.) in bone (especially facial, head and hand bones) and cartilage (such as ear and nasal cartilages) are also within the field of plastic surgery. In addition to classical surgical methods, microsurgery, laser systems, endoscopy and various chemical agents and drugs can be utilized.

In summary; Plastic and Reconstructive Surgery tries to repair all kinds of defects (cavities) affecting the skin, subcutaneous tissue and bones on the entire body surface. The basic rule in doing this is to repair with tissues similar to the tissues that have been lost.

 

AREAS OF INTEREST OF PLASTIC AND RECONSTRUCTIVE SURGERY

Facial deformities - Asymmetries, congenital masses, rare facial clefts

Cleft lip and palate

Craniofacial - maxillofacial anomalies (e.g. deformities, irregularities, deficiencies of the jaw, face and skull bones

Orthognathic surgery (Jaw closure disorders)

Absence of auricle, prominent ear and other deformities

Nasal defects, tumors, ruptures

Salivary gland problems

Congenital tumors, nevi (moles), masses, vascular malformations, hemangiomas

Bone and soft tissue trauma of the face

Maxillofacial surgery (Bone defects-fractures-shape and function disorders caused by traffic accidents, tumors and other causes, jaw surgery

Head and neck tumors and repair of their defects

Absence, asymmetry or excess breast tissue

Breast reconstruction after cancer

Gynecomastia (large breast in men)

Congenital anomalies of the genital organs (Epispadias, hypospadias, vaginal agenesis etc.)

Repairs of genital organs, replantation of severed organs,

Chest and abdominal wall defects

Hand Surgery (Traumas, tumors, finger transfers, finger repairs-extensions etc.)

Deficiencies and deformities of the hands and feet

Peripheral nerve problems (traumas, neuropathies, defects, masses)

Skin and soft tissue tumors

Acute burns and post-burn deformities, contractions, shrinkage, damage to soft tissues caused by electrical and chemical substances

Skin and subcutaneous wounds caused by various infections, radiation and other influences

Chronic wounds (such as pressure sores, venous wounds, diabetic foot wounds)

The rule for repair in Plastic Surgery is to choose the simplest and least damaging method first. Primary repair of a wound (such as suturing) is considered first, and if there is tissue loss, graft (skin patch) application comes to the agenda. In cases where this method is not suitable (such as deep and complex tissue loss, open bone and tendon injuries), flaps should be used. Flaps are planned in a flow chart from local simple flaps (for example skin flaps) to composite flaps (involving more than one tissue) depending on the condition and location of the tissue defect. The basic rule in plastic surgery is to repair by using the tissues closest to the lost tissues.

In both plastic surgery and aesthetic surgery, it is primarily appropriate to use autologous tissues (taken from the person himself/herself). However, if donor areas or the patient is not suitable for autologous tissues, other sources can be used (homografts, heterografts and alloplastic materials). For example, in extensive burns, skin grafts (skin patches) from intact areas of the patient are preferred. If these areas are insufficient, skin from other people, cadavers (homografts) and even skin from animals (heterografts) can be used.

With the exception of autografts, they are used as temporary biological coverings in humans and are not retained in the wound. Another example can be given for bone loss. In facial bone loss, bone is first taken from other body parts and applied to the defect area. However, if this source is insufficient or unavailable, alloplastic materials (porous polyethylene, hydroxyapatite, titanium, etc.) can be used.

AESTHETIC SURGERY (COSMETIC SURGERY)

It is a sub-branch within plastic surgery. Aesthetic (or cosmetic) surgery deals with operations and interventions to make the body image more beautiful and perfect. There are more aesthetic problems than medical problems. In the media, news about the aesthetic aspect of plastic surgery is more common and perhaps for this reason, the public perceives plastic surgeons as people who only perform aesthetic surgery. However, plastic surgeons deal with repair surgery (reconstructive surgery) to a greater extent in clinics.

All plastic surgeons are also trained in aesthetic surgery during their specialty training and are the only surgeons authorized to perform these operations. Aesthetic surgery requires a long training and experience. Such operations require both surgical and artistic skills. In aesthetic surgery, not always aesthetic but sometimes medical problems are solved. For example, surgical correction of an overweight torso or gigantomastia (gigantomastia) solves both medical and aesthetic problems. In addition to the aesthetic correction of an organ, its function is also extremely important. For example: In aesthetic nose surgery (Rhinoplasty), shape and breathing problems should be corrected together.

In our country, breast aesthetic surgery (augmentation-reduction-lift), rhinoplasty, body contour surgery (liposuction, lipectomy, abdominoplasty), face lift-renewal, eyelid surgery (blepharoplasty), auricular correction (prominent ear) are among the aesthetic operations frequently performed.

Attempts by doctors in other fields to perform aesthetic surgery create many medical, ethical and forensic problems, and patients in unqualified hands face complications that are very difficult to correct. Therefore, it will be in the best interest of patients to consult "Plastic and Aesthetic Surgeons" when choosing a surgeon for the above problems.

AREAS OF AESTHETIC SURGERY

Aesthetic and functional nose correction (Rhinoplasty, septorhinoplasty)

Facial rejuvenation (Face lift - eyelid and mouth contour revisions, treatment of wrinkles)

Endoscopic face-brow lift, brow lift

Eyelid aesthetics (Blepharoplasty)

Correction of prominent ears and other aesthetic problems in the auricle,

Chin augmentation and reduction operations (Mentoplasty),

Removal of scars and irregularities on the skin,

Hair transplants - replacements

Laser applications (Facial peeling, removal of blemishes and vascular malformations

Aesthetic breast operations: Augmentation, reduction and lift

Operations to reduce excess skin-subcutaneous fat tissue (liposuction-lipectomy)

Tummy tuck (Abdominoplasty)

Leg contour correction (with fat removal, injections or leg implants)

Contour corrections with implants (prostheses applied to soft tissue) (such as hip and thigh implants, pectoral (breast) implants in men - leg implants)

Skin treatments and interventions

In aesthetic surgery, operative and non-operative methods can be used together or separately to achieve the goal. For example, in facial rejuvenation, a face lift (rhytidectomy= face lift) is performed first, followed by chemical peeling and filler injection for fine lines and blemishes. It should not be forgotten that aesthetic problems that require surgery (such as sagging skin, regional fat accumulation, hypertrophic breast) can only be eliminated by operative methods.

Some methods (mesotherapy, carboxytherapy, etc.), which have not yet been scientifically proven and are generally applied to patients by people other than plastic surgeons, do not provide a significant benefit. In aesthetic surgery, apart from the major operations listed above, auxiliary methods such as skin peeling methods (laser, chemical or mechanical peeling) for spots, fine wrinkles, acne or old scars; fat injections (lipofilling) for hollowness and contour disorders; fillers (such as collagen, hyaluronic acid) for depressed scars and wrinkles; Botox applications for forehead and eye contour lines, fat and various fillers for lip thickening.


Turkish Plastic Surgery has a very good place in the world in terms of both scientific and surgical skills. All plastic and aesthetic surgery operations performed in the world can be performed in the same quality in our country, and many foreign patients come to our country and undergo surgery.

SPECIALIZED SUB-BRANCHES WITHIN PLASTIC SURGERY:

AESTHETIC (COSMETIC) SURGERY:

These are operations performed to provide the patient with a more aesthetic and proportionate body. The relevant body part (nose, breast, abdomen) is made more perfect and compatible with the surrounding contours based on anatomical and aesthetic measurements. Fat injections and various implants can be used in this surgery.

MAXILLOFACIAL SURGERY:

It deals with all kinds of surgery of the facial bones. Facial bone fractures, tumors, orthognathic corrections (moving the jaws forward or backward), correction of congenital facial clefts are included in this field.

CRANIOFACIAL SURGERY:

Corrects abnormalities and deformities of the skull bones. Craniofacial surgery corrects skull deformities (tower head, hammer head, flattened head) that are recognized after birth, as they also negatively affect brain development. Subsequent defects and deformities of the skull bones can be repaired with various autologous tissue (bone and cartilage taken from elsewhere) or alloplastic materials.

MICROSURGERY:

It is a surgery performed under an operating microscope with special microsurgical instruments. Replantation of severed hands, feet and other tissues can be performed with this surgical technique. By suturing small vessels and nerves, the function of the severed organ can be restored, and it is also possible to transfer tissues from another area to a defect (free flaps). Today, thin vessels and nerves up to 0.5 mm in diameter can be sutured.

HAND SURGERY:

Traumatic defects in the hand (cuts, crushes, ruptures), correction of deformities and dysfunctions, correction of congenital disorders (finger anomalies, conjoined and extra fingers, cleft hand, deformed hand, etc.), repair of tendons and nerves, hand tumors, hand burns can be treated with hand surgery.

ENDOSCOPIC SURGERY:

Face and forehead lift, breast implantation, nerve and vascular surgeries have become possible with the help of the endoscope.

DEPARTMENT FIELDS OF STUDY

Hand Surgery

Pressure Sores

Facial Paralysis

Breast Reconstruction

Body Reconstruction

Tissue Expansion

Microvascular Flap Surgery

Aesthetic Surgery

Scar Revision

Congenital Anomalies

Face, Hand, Lower Extremity Trauma

Burns

Benign Skin Neoplasms

Malignant Skin Neoplasms

Hand and Neck Neoplasms

Repair of Facial and Maxillofacial Fractures

 

POSSIBILITIES

General Operating Room

 

 

CONTACT: 0 246 211 91 82