AESTHETIC, PLASTIC AND RECONSTRUCTIVE SURGERY:

Aesthetic, Reconstructive and Plastic Surgery is surgery that covers restructuring and shaping of various structures on the body, remedying serious tissue losses and all kinds of aesthetic interventions. Plastic surgery is divided into two main categories; Reconstructive and Aesthetic Surgery.

Mediglobe collaborates modern hospitals, experienced specialists, and recommend personalised Aesthetic, Plastic and Reconstructive surgery plans.

Reconstructive surgery:

It covers craniofacial (head and face) surgery, maxillofacial (jaw and face) surgery, hand surgery, microsurgery and burns treatments. Reconstructive surgery is the repair of any congenital or subsequent tissue and organ loss affecting the skin, subcutaneous and bones on the entire body surface. For examples; such as cleft palate-lip, attached finger, traumatic burns and chronic wounds.

Aesthetic (Cosmetic) surgery:

These are the operations performed to make the body image more beautiful and perfect. The aim here is to increase the self-confidence of the person and make it easier for them to have better relations with themselves and their environment.

Aesthetic, Plastic and Reconstructive surgical interventions performed using advanced technology in the institutions we have contracted with are as follows:

• Hair Transplantation: FUE technique
• Abdominoplasty, reshaping and tightening of the abdomen (Abdominoplasty)
• Hip augmentation surgery performed with hip replacement or the person’s tissues.
• Leg stretching, Hip stretching, Hip reshaping and tightening.
• Arm stretching, tightening the arm by removing the excess skin on the arm (Brachioplasty)
• Eyelid aesthetics, correction of the excess eyelid skin and fat hernias (Blepharoplasty)
• Almond eye aesthetics
• Browlift
• Permalip lip silicone
• Uvulopalatoplasty (abbreviation of uvula)
• Breast augmentation (Augmentation Mammoplasty)
• Breast reduction aesthetics (Reduction Mammoplasty)
• Breast lift aesthetics (Mastopexy)
• Breast reconstruction and breast aesthetics after cancer surgeries
• Removal of excess breast tissue in men by liposuction or removal (gynecomastia)
• Skin Cancers: Moles (Nevus), mole treatments, masses, vascular malformations, hemangiomas, head and neck tumors and correction of their defects
• Non-healing (chronic) wounds, open wounds, burns and scars (scar) treatments
• Nose aesthetics, reshaping of the nose and correction of functional disorders (Rhinoplasty and Septorinoplasty)
• Ear aesthetics (Otoplasty), absence of auricle, correction of prominent ear and other deformities
• Neck stretching
• Facelift, correction of excess and sagging facial skin (Rhytidectomy), Facelift applications
• Permanent shaping of the cheek and cheek area (Bichectomy)
• Lip aesthetics
• Reshaping the chin tip (Genioplasty)
• Correction of facial bone deformations (Orthognathic Surgery), facial bone and soft tissue traumas
• Chin augmentation and reduction aesthetics (Mentoplasty)
• Thinning and shaping the fat tissue in the desired areas (Liposuction, Lipectomy)
• Muscle aesthetics
• Butt aesthetics
• Cleft lip-palate surgery
• Treatment of traffic accidents, tumors and bone defects, fractures, shape and function disorders for any reason in maxillofacial surgery
• Correction of congenital anomalies of the genital organ, Reshaping the female external genital organ (labium minus) aesthetics (Labioplasty), Penis aesthetics, correction of the shape and size of the penis (Phalloplasty)
• Peripheral nervous system problems: traumas, neuropathies and treatments of masses
• Congenital anomalies such as attached fingers, replantations of severed organs
• Obesity surgery

BUCKET EAR CORRECTION (OTOPLASTY):

Otoplasty is the correction of the appearance of the auricle. An overly prominent auricle can be corrected, or an undeveloped or distorted auricle and earlobe can be reshaped due to congenital or trauma-like reasons. It is generally accepted that the best time for otoplasty surgeries is preschool. Adults may also need otoplasty surgery for reasons such as getting rid of this image that can be perceived as a disadvantage in social environments, collecting their hair above their ears, or having a short haircut easily. Otoplasty is a very common surgery. The auricle consists of thin soft tissue and cartilage covered with skin. At the age of five, the auricle completes its development. As with all other facial organs, one ear is not exactly like the other.

There are many different surgical techniques to correct prominent ears. In children or young patients, shaping can be done with sutures, since the flexibility of the cartilage is high. To give the desired shape to the cartilage, certain areas can be marked and folded, the cartilage can be weakened by thinning, and if there is excess cartilage or soft tissue, it can be removed. There is usually no serious pain after the surgery.The headband is applied day and night for a week. Then for a few weeks, it is desirable to wear the headband only at night. Children can start school after a week, while adults can return to work earlier. Within a year, the scar behind the ear gradually decreases.

SCAR REVISION:

Interventions made to make scars less visible are called scar revision. Any cut or wound on the skin that is deliberately made (as in surgery) or accidentally heals by leaving a scar. How prominent this scar is depends on many different reasons such as the type of injury, the body part of the wound, the methods used to repair the wound, and the characteristics of the patient’s skin. Scar revision is the correction of scars that are sometimes formed as a result of surgeries and sometimes as a result of accidents. For this purpose, the wound can be made less visible or moved to a less obvious location.

Scar repair can make very positive contributions to the person’s appearance, psychological state, and social life, and increase the person’s self-confidence. The thickness and flexibility of the skin are highly variable. The lines on the skin become visible as a result of the activities of the muscles, as in the example of forehead wrinkles. A scar may restrict the mobility of both neck and facial areas and limit some functions. For example, there may be difficulty in breathing and exhalation through the nose, eye closure may not be fully realized, etc. If a large hypertrophic (raised from the skin) scar is present, steroid injections may be administered in the first weeks. These injections can be repeated several weeks apart. An irregular or raised scar can be polished with a laser or diamond lap. A large scar can be surgically excised and a thinner scar can be created. Since straight lines are more visible, the scar can be removed with the “broken line” technique and a new scar with a more aesthetic appearance can be obtained with the help of special angles and shapes.

More complex and larger scars may require more advanced surgical techniques, such as skin removal from adjacent areas. The appearance of the wound can be changed by applying many different techniques. In the early healing period, the wound is covered with ointment or an occlusive dressing to preserve the moisture and softness of the wound. The wound site should be protected from the sun for at least 6 months.

HAND SURGERY:

These are surgeries performed for the treatment of hand injuries, degenerative diseases, and congenital deficiencies, both functionally and for the purpose of improving the image.

HAND INJURY:

The most common procedures in hand surgery include repairing damage to tendons, nerves, vessels and joints, broken bones, and repairing burns and skin injuries.

Application methods include:

• Grafting Method: is the transplantation of skin, bone, nevre, or other tissues from a healthy part of the body to repair the damaged area.
• Flap Surgery Method: is to move the skin from a healthy part of the body to the damaged area together with the underlying fat tissue, blood vessels and muscle tissue.
• Replantation or Transplantation Method: is the process of replanting the severed fingers or hands using microsurgery, which is an extremely careful and delicate surgery performed under the microscope. Such injuries may require many repetitive operations over a wide period.

In many cases, significant sensation and function can be restored to injured hands as a result of surgery. However, recovery may take months and physical therapy methods should be applied.

CARPAL TUNNEL SYNDROME:

The carpal tunnel is a tunnel in the wrist through which the tendons and one of the main nerves of the hand pass. The pressure inside the tunnel may increase after various diseases (rheumatoid arthritis, etc.), injuries, fluid collection during pregnancy, excessive use or repetitive movements. This increased pressure on the nerve inside the tunnel causes an electrifying sensation, often accompanied by numbness, pain, and impaired hand function. These problems are known as carpal tunnel syndrome.In some cases, hand splints and anti-inflammatory drugs will solve the problem. If this does not work, surgical methods are used. After the surgery, the movement is restricted by dressing and using a splint, thus speeding up the recovery. The surgical scar will gradually disappear and become difficult to see. The results of the surgery depend on the condition of the limitation of movement and how much the nerve is damaged.

Rheumatoid Arthritis:

Rheumatoid arthritis is the inflammation of the joints. It is a disabling disease that can affect the appearance and function of the hands and other parts of the body. It often deforms the knuckles and forces the fingers to stay in a bent position, impeding movement. Injuries caused by rheumatoid arthritis can usually be treated without the use of surgery and physical therapy can be applied to the area. But for some patients, surgery is the best solution.

DUPUYTREN CONTRACT:

The disease of the skin and subcutaneous tissue of the palm is called Dupuytren’s contracture and can limit hand movements. This disease usually develops in middle age and maybe inherited, although it has no known cause. With surgery, a better movement can be provided to the finger by separating the bands and tendons of the thickened tissue. The outcome of the surgery depends on the severity of the disease. There is usually a significant improvement in hand functions after physical therapy.

CONGENITAL DEFECTS:

Congenital anomalies of the hand are deformations that are present at birth, affect hand development and cause significant problems in the use of the hand. With the developing surgical techniques, most of the defects are noticed at a very early age, even during pregnancy in some patients. The child’s hand is expected to gain normal development and function. This is corrected when the child is 2 or 3 years old. The most common congenital hand anomaly is syndactyly (Conjoined Finger). Here two or more fingers are joined. The shape of the fingers is corrected by surgical methods. Other common congenital defects are short, missing or deformed fingers, immobile tendons, and abnormal nerves or vessels. In most patients, these defects are surgically corrected.

HEALING AND REHABILITATION:

Since the hand is a very sensitive organ of the body, pain may vary from mild to severe after surgery. Physical therapy is applied by an experienced hand therapist to help your hand heal faster and use it better. Your therapy will be done with one of the methods of hand exercises, massage therapy, electrical nerve stimulation, splinting, stretching and special wrapping.

FACE (FACIAL) SKIN CANCER:

There are many reasons for the formation of skin cancer. The most important reason is to stay under the influence of the sun’s rays for a long time. Skin cancer is easy to spot because it usually develops from superficial skin. New or non-healing wounds on the skin, persistent pain and changes in the appearance of the skin are the most important symptoms of skin cancer. Skin cancers can be small, smooth, shiny or pale masses, or they can be seen as hard dark-colored masses. Sometimes bleeding or crusting can be seen in the mass. The mass may also be dry, scaly and rough. Not every change in the skin may be a sign of cancer; however, it is necessary to consult a doctor for changes lasting more than 2 weeks. A biopsy should be taken from the abnormal-looking skin area. The definitive diagnosis of cancer is made by biopsy. Skin cancer is usually a local disease and rarely spreads under the skin, except for malignant melanoma.

Factors known to increase the risk of skin cancer in humans are:

• light skin color Family history of skin cancer
• A previous history of skin cancer
• Frequent exposure to sunlight
• History of sunburn
• Freckled skin that burns quickly in the sun, reddens and aches
• Having blue or green eyes
• Being blonde, red or light-haired. The most common known cause of skin cancers is ultraviolet (ultraviolet, UV) rays. UV A and B rays cause skin cancer. The most important way to prevent skin cancer is to protect yourself from the sun’s rays.

There are mainly three types of skin cancer:

• Basal Cell Cancer: It constitutes approximately 70-75% of skin cancers. It usually causes local damage and progresses very slowly.
• Squamous Cell Cancer: It constitutes approximately 25% of skin cancers. It can be very aggressive; rarely spread to local lymph nodes.
• Malignant Melanoma: It constitutes 1-5% of skin cancers. It is a very aggressive tumor and its regional and distant spread (metastasis) is very common.

The main goal in the treatment of skin cancer is to destroy cancer. The treatment method may vary according to the location and size of the cancer, the age of the patient, general health and medical history. As with all cancers, skin cancers require serious follow-up. Because a person who has developed skin cancer before has a 50% chance of developing skin cancer again in the next 3 years. For this reason, patients are asked to continue their check-ups at routine intervals for at least 3 to 5 years.