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Aesthetic Procedures

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Aesthetic Surgery

The term "aesthetic surgery" refers to surgery that is designed to make cosmetic, or appearance better. Aesthetic or cosmetic surgery is a very popular form of plastic and reconstructive surgery. Plastic reconstructive and aesthetic surgery is recognized as the surgical subspecialty dedicated to the surgical repair of defects of form or function and this includes aesthetic surgery, as well as reconstructive surgery.

The most prevalent aesthetic procedures are listed below. Most of these types of cosmetic surgery are more commonly known by their "common names":

  • Rhinoplasty (or "nose job"): Simply this procedure involves reshaping of the nose. This operation reshapes the nose by reducing or increasing its size, removing nasal hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. This operation may also relieve some breathing problems.

  • Breast augmentation (or "breast enlargement"): This procedure enhances the size of breasts using either saline or silicone gel filled implants.

  • Breast reduction: This operation involves removal of skin and glandular tissue of the breast. This procedure is indicated to reduce back and shoulder pain or for psychological benefit in women with macromastia. Patients who undergo breast reduction surgery frequently are looking for relief from physical symptoms caused by the excessive weight of large breasts. Breast reduction surgery usually can solve these problems as well as improve the size and shape of breasts. Following breast reduction, breasts will be more proportional to the rest the body, and clothes will fit better.

  • Mastopexy (or "breast lift"): This procedure raises and reshapes sagging breasts by removing excess skin and repositioning remaining tissue and nipples. Thus this operation involves removal of breast skin as opposed to glandular tissue.

  • Gynecomastia (or "male breast reduction"): This procedure reduces enlarged, female-like breast in men using liposuction and/or cutting out excess glandular tissue.

  • Abdominoplasty (or "tummy tuck"): This operation involves reshaping (flattening) and firming of the abdomen by removing excess fat and skin and tightening muscles of anterior abdominal wall.

  • Blepharoplasty (or "eyelid surgery"): This operation involves reshaping of the eyelids. This procedure corrects drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle.

  • Otoplasty (or "ear surgery"): This procedure consists of reshaping of the ear. This operation sets prominent ears back closer to the head, or reduces the size of large ears. This procedure is most often done on children between the ages of 4 and 14 years.

  •  Rhytidectomy (or "face lift"): This procedure involves removal of wrinkles and signs of aging from the face. This operation improves sagging facial skin, jowls, and loose neck skin by removing excess skin, fat, tightening muscles, and redraping skin. This operation is most often done on men and women over the age of 40. 

  • Suction-Assisted Lipectomy (or "liposuction"): This procedure involves removal of exercise-resistant fat deposits with a tube and vacuum device from the body to improve body shape. This operation can be performed using the tumescent technique, in which targeted fat cells are infused with saline containing a local anesthetic before liposuction to reduce post-operative bruising and swelling. Common locations for liposuction consists of chin, cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankles. For larger volumes of fat removal or for fibrous body areas, ultrasound-assisted lipoplasty (UAL) may be used. UAL is a new liposuction technique in which an ultrasound probe is inserted beneath the skin to "liquify" the fat before it is suctioned. 

  • Hair restoration surgery: This procedure fills in balding areas with patient's own hair using a variety of techniques including scalp reduction, tissue expansion, strip grafts, scalp flaps, or clusters of punch grafts (plugs, miniplugs and microplugs). This procedure works best on men with male pattern baldness after hair loss has stopped.

  • Dermabrasion: This procedure involves mechanical scraping of the top layers of skin using a high-speed rotary wheel. This procedure softens sharp edges of surface irregularities, including acne and other scars and fine wrinkles, especially around the mouth.

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Plastic Surgery Sub-Specialties

Plastic and reconstructive surgery is a broad field, and may be subdivided further. Plastic surgery sub-specialty training includes mastery of the following:

  • Craniofacial surgery

This sub-specialty mostly revolves around the management of pediatric congenital anomalies, such as cleft lip and palate, craniosynostosis, and other disturbances in facial growth and development. Since these children have multiple issues, the best approach to providing care to them is an interdisciplinary approach which also consists of  neurosurgeons, otolaryngologists, speech therapists, occupational therapists and geneticists.

  • Hand surgery

Plastic and reconstructive surgeons receive training in hand surgery, with some trainees deciding even to do an additional full-year hand fellowship afterwards. In particular, plastic and reconstructive surgeons receive training in microvascular surgery, which is needed to replant an amputated digit or hand. Many types of hand operations (such as reconstruction of injuries, replantations, rheumatoid surgery and surgery of congenital defects) are performed by plastic surgeons.

  • Aesthetic or Cosmetic Surgery

While both aesthetic surgery and reconstructive plastic surgery deal with improving a patient's body, the overarching philosophies guiding the training, research, and goals for patient outcomes are different. The procedures, techniques, and principles of aesthetic surgery are completely focused on enhancing a patient's appearance. Aesthetic surgery can be performed on all areas of the head, neck, and body. As the treated areas function properly, aesthetic surgery is elective. Plastic and reconstructive surgeons may decide to master advanced cosmetic surgery training after completion of their formal training programs.

  • Pediatric Plastic Surgery.

Children are often confronted with medical issues unique from the experiences of an adult patient. Many birth defects or syndromes present at birth are best managed in childhood, and pediatric plastic surgeons specialize in treating these conditions seen in children. Many of them have additional training in pediatric care. Disorders commonly treated by pediatric plastic surgeons include craniofacial anomalies, cleft lip and palate, and congenital hand deformities. 

  • Burn Surgery

Plastic surgeons who prefer to treat patients with deformities caused by burn injury may work in specific burn care centers. 

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Plastic Surgery as a Medical Speciality

Plastic reconstructive and aesthetic surgery is a medical specialty that uses a number of surgical and nonsurgical techniques to alter the appearance and function of a person’s body. Plastic reconstructive and aesthetic surgery procedures consist of both cosmetic enhancements as well as functionally reconstructive operations. In the former case, where aesthetics are considered more important than functionality, plastic surgery is sometimes called as aesthetic or cosmetic surgery. Most plastic surgery procedures involve both aesthetic and functional elements. The word "plastic" derives from the Greek word plastikos meaning to mold or to shape. Plastic and reconstructive surgeons typically mold and reshape the following tissues of the body: skin, fat, muscle, cartilage, and bone. Common techniques used in plastic and reconstructive surgery include: incision, excision, microsurgery, chemosurgery, laser surgery, dermabrasion, electrosurgery, and liposuction.

Reconstructive plastic surgery is carried out to correct functional impairments caused by: burns, traumatic injuries (such as facial bone fractures), congenital abnormalities (such as cleft lip, or cleft palate), developmental abnormalities, infection or disease, and removal of cancers or tumors (such as a mastectomy). Reconstructive plastic surgery is usually performed to ameliorate function, but it may be done to approximate a normal appearance. It is generally covered by insurance coverage but this may differ according to the procedure required.

Common reconstructive plastic surgical procedures are: breast reconstruction for women who have had a mastectomy, cleft lip and palate surgery, contracture surgery for burn victims; creating a new outer ear when one is congenitally absent (anotia/microtia), and repairing skin and mucosa defects after removal of tumors in the head and neck region.

 Plastic and reconstructive surgeons developed the use of microsurgery to transfer tissue for coverage of a defect when no local tissue is available. Tissue flaps made up of skin, muscle, bone, fat or a combination, may be harvested from the body, moved to another site on the body and reconnected to a blood supply by suturing arteries and veins as small as 1-2 mm in diameter.
          While both aesthetic surgery and reconstructive plastic surgery deal with improving a patient's body, the overarching philosophies guiding the training, research, and goals for patient outcomes are different. The procedures, techniques, and principles of aesthetic surgery are completely focused on enhancing a patient's appearance. Aesthetic surgery can be performed on all areas of the head, neck, and body. As the treated areas function properly, aesthetic surgery is elective. 

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Private Practice of Assoc. Prof. Hasan Mete AKSOY, MD. in Kocaeli - TURKEY

     Plastic Reconstructive and Aesthetic Surgery is a medical specialty that uses a number of surgical and nonsurgical techniques to alter the appearance and function of a person’s body. Plastic reconstructive and aesthetic surgery procedures consist of both cosmetic enhancements as well as functionally reconstructive operations. In the former case, where aesthetics is considered more important than functionality, plastic surgery is sometimes called as cosmetic surgery. Most plastic surgery procedures involve both aesthetic and functional elements.
     Plastic Surgery Specialist Assoc. Prof. Hasan Mete Aksoy, MD has the necessary training and experience to perform many kinds of plastic  and cosmetic surgery operations. Assoc. Prof. Aksoy works his private office in Izmit, Kocaeli Province of Turkey. He performs his operations in private hospitals in Kocaeli, with comfortable patient rooms, well equipped operating theatre, and experienced staff is suitable to perform any kind of plastic surgery operation under local or general anesthesia. Advanced patient care brought about by the use of modern technology makes these hospitals a distinguished place for any patient requiring surgical intervention. 
     The most common aesthetic surgery procedures performed by Assoc. Prof. Aksoy are rhinoplasty or aesthetic nose surgery and cosmetic breast surgery (breast reduction, breast augmentation and breast lift).

English: Estetik Uygulamalar
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