Today one of the most preferred operations by women is the operation of breast enlargement with silicone. The breasts may get smaller or may not reach to the adequate size as a result of development deficiency due to reasons such as genetics, lactation, aging. Due to these conditions, it is possible to form breast to be more well-rounded, bigger, to have a better appearance aesthetically with the initiatives oriented for enlargement . This enlargement can be done with the most appropriate silicone breast prosthesis. Breast enlargement operation is the increasing of breast volume with the breast prosthesis placed under the breast tissue. This intervention can be applied for breasts which are structurally small or for breasts which are downsized or eviscerated after the birth.
After the examination, the physician tells the other variables that can affect the decisions regarding the operation such as the status of the skin covering the rib cage and breasts. For the cases in which the breast is apparently prolapsed, the physician can recommend a method which reshapes the breast skin by decreasing it in addition to the breast enlargement operation. There are a couple of surgical approaches used in the breast enlargement. The most frequently used technique is sub-breast cut slightly over the region where sub-part of the breast reaches to the rib cage or by making thecut in the half circle shapealong the sub-border of the dark colored skin (areola) of the nipple.
Therarely used one is axillar cut made to armpit. The place of the cut to be applied can change according to the preference of the physician, patient’s requests and the type of prosthesis to be used. The patients applying for the aesthetic breast enlargement operation generally havedifficulties in defining the breast size that they want to achieve. Frequently, they tell the bra number that they want. The physician especially should understand the requests of the patient, get his/her body sizes and select the prosthesis dimensions in a way which is appropriate to his/her body size.The silicone breast prostheses can be placed under the breast tissue or to a space which is prepared under the breast wall muscle (pectoralis major) which is available under breast via cut made. In the breast enlargement operations, the silicone breast prostheses are used.
These are roughly divided into two, as prosthesis whose contents include silicone gel and serum physiological. In the recent years, the silicone prosthesis which are called cohesive gelin which the gel silicone insidedoes not flow out even if the prosthesis is cut have been produced. Thefact that breast prosthesis do not cause cancer has been determined with many foreign scientific researches. In the researches, the patients who have been followed for long durations such as 20-30 years have been investigated and the ratio of breast cancer formation in the patients to which the breast prosthesis has been placedcompared to the which havent has not appeared as different, it has even been determined as being a little bit lower.
These prosthesis do not cause allergic reaction, they do not have toxic effects. Extremely safe usage areas have formed. Depending on the operation’s content, the operation takes approximately 1,5-2 hours. Following the operation, dressing is applied to the breasts and the bra is used. After the operation, the pain can be controlled easily and it disappears on the first or second day. The operation scars shall fade, they will become liminal after 6 months – 1 year. The slight degree swelling and colour changes in the breasts shall disappear in a couple of days. The aim of Breast enlargement operation is to have more natural breasts. The most important complication of the Breast prosthesis operations is the situation called capsule contracture. The capsule contracture is the tissue that froms around prosthesis thatruins the breast’s shape andfixing it is extremely hard. This possibility can be minimized by considering some factors.
Putting prosthesis at the appropriate size, doing massage after the operation, keeping aclean and non-bloody work at the operation shall decrease the capsule contracture possibility. Depending on the difference in the recovery period in both sides, the breast asymmetry can happen. In the weeks and even in the months following the operation, the hardeningofdifferent degrees can appear in the breast. In some cases, the physician can propose breast message with the aim of increasing the softness. Following the operation, feeling can sometimes be lost in the nipple, but in most cases, it shall return in due time. Generally, the aesthetic breast enlargement operation is one of the operations that the women demand at most and onewhich we get immediate results. However, toget a good result, it is essential that the operation should be done by an experienced physician.
Breast Downsizing
It is the operation of giving form to the breasts which are extremely big and prolapsed by downsizing them. The big and prolapsed breasts cause back and neck pains in women, rashes in skin and disorder in the skeletal system. In these patients, there are problems regarding both health and appearance. In breast downsizing operation, it is possible to obtain smaller, lighter and aesthetic breast by removing the excess breast tissue, fat tissue and skin.
The operation is done under general anesthesia and takes two to four hours. In the Breast downsizing operation, by also considering the patient’s requests, different techniques are applied.
Which technique shall be applied is determined together with the patient after the consultationmeeting .It should be known that breast downsizing operation makes fast and dramatic changes in the body shape. This new appearance creates positive affects in psychologicalway and also affects the patient’s health.
After this operation, the duration of stay in the hospital is1 night. As it is done undergeneral anesthesia, pain is not felt during the operation. The pain to be felt after the operation can change according to each patient as well as it can be controlled by using painkillers.
The scar which will be formed after the operation disappears at the end of 1 year.
Breast Uprighting
The breast uprighting operation which is usually doneafter the Breast downsizing operation can also be done without downsizing the breast. After the Breast uprighting operation, as the tissues inside the breast are collected and excess skin is removed, there is no skin left that will prolapse.
Nipple Correction
It is possible to correct the inward or sunk state of the nipple surgically. This problem which hinders both lactation and aesthetic appearance can be corrected by bringing the nipples to the anatomic position withlocal anesthesia.
GENITAL REGION AESTHETICS
Vagina Aesthetics and Vaginoplasty
” Some obstacles can ruin your personal life quality and sexual life excitement. Especially external appearance and shape failures in the genital region.”
Vagina Aesthetics Types
Most of the women have problems regarding their vagina due to their births or the births that they give or reasons thataging bring. These problems can badly affect the sexual lives of the women and their spouses. However, big differences can be created with very small surgical interventions in this sensitive issue which seems as taboo. Some women also abstain from their partners due to the shape failures formed in the vagina lips; situations such as not being symmetrical, prolapse. Some women abstain from happy in their sexual intercourse due to the fact that their vagina internal walls are wide after the birth or since their births. Today, operations with RF (Radio Frequency) which is used also by many doctors which are experts in their occupations and the vagina aesthetic operations with the laser techniques providemore comfortable operation process and shorter recovery time. Also, these operations do not leave any scars which are seen after the operation.
Labioplasty: Reduction of Inner Lips: Labioplasty or inner lip reduction is sometimes referred to as vulvaplasty. The small lips or internal vagina lips are made small dimensionally or reshaped.
Vaginoplasty:It is vaginoplasti or vagina tightening /gathering operation. A more tight vagina structure can be provided by reshaping the Vagina internal walls and tissues.
Plumping:Especially depending on the aging, the fat tissue in the organs in the external genital region can decrease. This situation show itself especially in the hairy region just below the inguen called mons pubis. In the same way, thinning can be also seen in the labiums depending on the various reasons. In such situations, an amount of fat tissue suctioned with an operation similar to liposuction from the various regions of the person is transferred to these areas and the external appearance can be corrected.
Thinning:In some cases, shape failures can occur due to the excess fat gathering in the external genital region. The fat tissue available in the excess amounts in these regions can be suctioned by being melted with liposculptre which is a very sensitive method which is similar to local anesthesia and liposuction.
Birthmark after episiotomy: Another problem which is dependent on this type of births which create discontent is the suture scar that the episiotomy opened during the birth leaves. The nedbe tissue which develops there can hinder the sexual satisfaction of both woman and man. This problem can also be easily corrected with vaginoplasty and it has an extremely rapid recovery period.
Clitoris Aesthetics
While making Clitoris Aesthetics, the direct intervention to the clitoris is the application which is considered at last. As the first operation, the tissues covering clitoris are downsized. The decreasing of the tissues surrounding the region and on it makes the clitoris stimulation easy and this is an operation which increases the satisfaction in sexual terms. It can be realized locally and takes half an hour on average.
G Point Sensitization
It is an issue which gynecology scientist Dr. Ernest Gräfenberg stressed in his article firstly in 1950. As being different for persons, it is a region which is located at 3 – 4 cm depth of the vagina and shows interaction with stimulation and increases the size of sexual enjoyment.
With this reason, it a short-period operation which is realized with the local anesthesia and preferred by the women who are not satisfied from their sexual lives or want to increase the pleasure that they get.
NOSE AESTHETICS
Today, the noses aesthetics that are made to protect the person-specific characteristic features are more preferred. The most important reason of this is the need not to be observed as having aesthetics.
In the nose Aesthetics, small touches can sometimes be ensured with an operation or sometimes without making an operation. In the logic of this kind of operations, good analysis of the problems is in the foreground.
For this analysis, the computer-aided geometry studying of the nose and face, nose and face moulds and sculpture studies provide important advantages. In the analysis, the person’s perception and judgment errors should also appear and training should also be given to the person for evaluating his/her nose and face more realistically and correctly. In the patients coming with an aesthetic problem regarding the nose, it is frequently witnessed that there are problems in the surrounding structures mainly face, eyebrow, lip, chin, forehead after the analysis, however they do not recognize these and all responsibility are incurred to the nose.
FACIAL REJUVANATION with STEM CELL
PlateletRichPlasma is the name of treatment given to the plasma application which is platelet enriched. This application is based on the decomposition of small amount of blood which is obtained from a person by being put in a special tube and subjected to the centrifuge operation and giving the obtained platelet to the same person through injection or etching to the skin.
What is the aim in the PRP application?
The thrombocytes are blood components sheltering the growth factors required for repair of the damaged tissues in our body and ensuring their return to the natural states in their structure. When any repair is formed in our tissues, our blood collect thrombocyte to this tissue and starts a recovery period, the aim of PRP application is to give platelets in a number which ismore than that can be carried to this target tissue with the blood stream, therefore the tissue repair starts in a faster and strongerk way and gives results faster.
MOUTH AESTHETICS
In a good smile aesthetic, the below edge of the upper lip should be at the level where the teeth meet with the gingivas during a smile. In buck-toothed people, there are aesthetic smile concerns. If the gingiva appears while smiling, the chin bone is shortened with surgical operations andon the shortened teeth, aesthetic crowns are made. Therefore, it ensured that the smile line enters between the teeth and gingiva. For this operation, the chin bones can be shortened with the ‘osteotomy operation’ to a certain proportion in one day. A period is waited for the coatings and then porcelain or laminated coating can be made. If there the upper lip is short, it can be extended downwards by the face aesthetician. This operation generally requires a month to set properly.
