Facial Aesthetics

FACE LIFT
Facelift surgery consists of cutting the skin of the face, which has become abundant as a result of aging, from suitable places, pulling it back-up from the sides of the face and stretching it, and cutting and re-stitching many parts. As with any natural surgery, facelift has very important tips. One of the most important issues is the protection of the facial nerve (facial nerve) that moves the facial mimic muscles. This nerve divides into very thin branches in both cheek areas and lies under the skin.

Facelift cannot stop the aging process. The surgery to be performed turns the clock back and provides rejuvenation in the facial image. The aging clock is returned, but continues to work. While some faces require surgery again after 7-15 years, many patients do not need a second facelift.

The procedures that turn the clock back are procedures that correct the signs of aging, such as removing too much fat, tightening the muscles, and stretching the skin of the face and neck.

Facelift alone, or other surgical interventions such as forehead lift, eyelid aesthetics or rhinoplasty surgery can be performed.

It should not be recommended to perform both rhinoplasty and eyelid aesthetic surgeries simultaneously. Because after nose surgery, eyelids swell and may force or open the stitches. For this reason, it would be more correct to perform the nose surgery first.

The best candidates for a face lift are patients whose neck skin starts to sag, skin is elastic and bones are strong. Most of the patients are in their 60s.

Facelift makes you younger and fresher, and increases your confidence in yourself. But it cannot give a completely different look or the health and vitality of your youth.

When facelift is performed by an experienced surgeon, the complication rate is low. People’s anatomy, physical reactions and healing rate vary and the results are unpredictable.

Possible complications are: hematoma (collection of blood on the lower skin, which must be removed by the surgeon), damage to the nerves of the facial muscles (temporary), infection, and anesthetic reactions.

If you smoke, you will be instructed to quit smoking so that the surgery can be found successfully.

Aspirin and certain anti-inflammatory drugs increase bleeding, so these pills will be discontinued at a certain time before surgery.

If your hair is very short, you can enlarge it enough to cover the incisions during recovery. If you are very overweight, it may be beneficial to lose at least 6-7 pounds.

A facelift may take a few hours – or even longer if a different operation is also performed. The exact location of the incisions and the levels of the surgery depend on the formation of the face and the surgeon’s technique.

The incision usually starts above the hairline on the forehead, extends from the natural line in front of the ear (or through the cartilage in front of the ear), and continues after the ear lobule towards the occipital region.

If surgery is also to be performed on the neck, a small incision can be made under the chin. Typically, the surgeon separates the skin from the underlying fat and muscle tissue. Fat tissue is removed from the neck or aspirated to correct the contour. Subsequently, the underlying muscle tissue is tightened and the skin is pulled and the excess is removed.

Stitches protect tissues and close incisions; Staplers can be used on the scalp. After surgery, a tube drain is placed under the skin behind the ear to drain the blood collection. The surgeon can wrap the head loosely to eliminate swelling and bruising.

The operation line starts from the scalp, passes in front of the ear at the level of the ear, then enters the scalp again on the lower side. The part remaining in front of the ear is the only part that can be seen after surgery.

It can only be noticed if looked very closely and can be hidden with a light make-up. The leather is sewn with very fine stitches, with the aim of leaving a minimum of traces.

Patients can return to work in 2-3 weeks after many operations. For important social appointments, it should wait 4-8 weeks. After the operation, bruises and swelling will occur on the face. Conditions such as severe or persistent pain, sudden swelling of the face should be reported to the surgeon immediately.

Some numbness of the skin is quite natural; It will pass in a few weeks or months. Your surgeon will recommend that you keep your head elevated for a few days to reduce the swelling. If a drain was placed during surgery, it should be removed in one or two days. The bandage of the head is opened the next day and the dressing is done.

After five days, some of the stitches are removed. It may take a little longer for the stitches on the scalp to get better. In one or two days, the patient can stand up.

During this time, it is necessary to be gentle on the face and scalp, because the skin is tense and numb. For returning to daily activities, special data will be given to the patient by the surgeon.

These data will include:
Avoiding heavy housework or active sports activities for 2 weeks at least (Walking and light stretching are good); Prohibition of alcohol, steam bath and sauna for several months. All of these increase rest and allow the body to spend all of its energy on healing.

NOSE AESTHETICS
With this surgery, procedures such as reducing or enlarging the size of the nose, thinning the tip, increasing or decreasing the height, nose-lip angle, changing the nose-forehead angle are performed by looking at the current formation of the nose and its proportion with the face. Rhinoplasty; It is an aesthetic operation that results in correction of the shape and size of the nose by cutting the os nasal, which forms the nasal roof and gives the main shape to the nose.

In addition, bones that collapse or shrink as a result of the fracture can be corrected and enlarged. During nasal surgery, deviations and breathing obstructions that can cause breathing can be corrected.

The trend in modern aesthetic rhinoplasty is to provide a balanced and refined look to every part of the nose, without disturbing the breathing through the nose.

In addition, rhinoplasty surgery should aim for a natural appearance that is not obvious or exaggerated. Rhinoplasty surgery age is 18 years and over. The reason is usually the completion of the development of bone tissues at this age.

Rhinoplasty is actually among the most difficult issues of aesthetic plastic surgery. The success of the operation depends largely on the experience and dexterity of the plastic surgeon. The techniques applied are not quite different and there are a few main methods basically.

The most rough rhinoplasty is divided into open and closed techniques. In the open technique, an incision is made at the base of the part called columella, which divides the nostrils into two, and a thin scar is left here. Open nose aesthetic surgery may be preferred in case of a problem in cartilage or soft tissue at the tip of the nose.

In addition, open rhinoplasty is more advantageous in correcting nasal deformity in patients with cleft lip disease. Open rhinoplasty can also be applied in secondary nasal revisions, especially in significant deformations, in wrong correction operations.

In the open rhinoplasty method, the skin of the nasal tip is removed and the nasal cartilages are completely opened. The excess of cartilages can be removed, shaped in the desired places, and auxiliary cartilage parts can be sewn.

Edema lasts longer in open rhinoplasty surgery compared to closed rhinoplasty alone. For longer, the tip of the nose remains swollen and solid. Closed rhinoplasty, on the other hand, is more classic and leaves no scars other than the nose. Edema and swelling at the tip of the nose is less and passes more quickly.

In closed rhinoplasty surgery, incisions are made through the nose and the inside of the nose can be seen up to the nasal root with the help of retractors. However, the nasal tip cartilages are not completely opened and the integrity of the nasal tip skin and cartilages is not disturbed. Following the surgery, the applications are similar in open and closed rhinoplasty methods.

Rhinoplasty can be performed under local or general anesthesia, depending on the choice of the surgeon and the patient. In local anesthesia, the nose and surrounding tissues are anesthetized by applying light sedation in general; During the operation, you will be awake but no pain will be felt. After the operation, there is sufficient rest for 1-2 hours.

General anesthesia is performed with a short-acting anesthetic administered intravenously. Rhinoplasty usually takes up to an hour, and this period may be prolonged when some complex or additional procedures are required. During the surgery, the nasal skin is separated from the underlying cartilage and bone tissues and brought into the desired shape. Forming depends on the patient’s problem and the technique chosen by the surgeon.

If the nose surgery is performed with local anesthesia, the patient can be sent home on foot after resting for a few hours. When surgery is performed under general anesthesia, he is hospitalized one evening and discharged the next day. At the end of the operation, a plaster splint is applied on the nose. The plaster splint is removed completely in 9-10 days. Bruising and swelling may occur around the eyes the day after surgery. These swellings begin to regress after the 3rd day, disappear in 10-15 days, and bleeding may continue in the form of leakage from nasal pads. It stops in a few days. If tampons are removed three days later, recurrent bleeding may occur very rarely. In this case, it may be necessary to put a tampon for another three days. The first day should be spent in bed with the head slightly up.

The surgeon on how to prepare for the surgery; Eating and drinking rules, if smoking, at least 1 week before discontinuation, face washing, etc. can be found. Compliance with these warnings will help make the surgery easier. After the operation, there may be swelling in the intervention area that can last for 15-20 days or longer. 80-90% of these swelling passes in the first month. The remaining swelling resolves in 6-12 months. When the surgery is performed by an experienced plastic surgeon, the possibility of complications is very low. The likelihood of risks can be reduced by following the surgeon’s recommendations for and after surgery.

While the tissues are healing, the nose should be protected against bumps, rubbing and sunburn for at least a month. Within an estimated 10-14 days, the patient becomes able to return to work. Activities that require a lot of effort (fast walking, swimming, bending, any activity that increases your blood pressure) should be avoided for 2-3 weeks. Care should be taken when washing the face and hair or using cosmetics. Glasses should not be used for up to two months. Glasses may cause slipping, opening, and deformed nose shape by putting pressure on the bones. Rhinoplasty surgery is performed inside the nose and there is no visible scar (scar) on the outside.

If the “open technique” is used in the surgery or if the wide nostrils need to be narrowed, only a small scar may be left on the base of the nose. In ideal patients, open nose surgery can be performed without cutting this part, in short, without leaving a scar on the outside. Secondary (2.) Surgical intervention may be required to correct a small deformity (such as undesirable permanent swelling) that may occur at a very low rate (5%) after surgery.

Secondary; Nose surgery for revision takes less time than the first surgery and is generally performed under local anesthesia. It is appropriate to perform this kind of rhinoplasty correction surgery preferably 6 or 12 months after the swelling is completely corrected.

EYELID AESTHETIC
Eyelid surgery is usually performed after the age of 40-45. After the under-eye bags, sagging and wrinkles begin to occur, the person may consider eyelid surgery. If small wrinkles have occurred, these wrinkles can be removed with fillers. However, in other cases, eyelid surgery becomes a must. This surgery is performed on behalf of the person to have a younger and lively appearance.

Eyelid aesthetics is usually a surgical procedure performed under local anesthesia. In this case, the patient is awake and does not feel much pain. However, if some tugging is felt and this situation is uncomfortable, general anesthesia may be preferred.

Eyelid surgery is a procedure that takes several hours. After anesthesia, incisions are made from the lower part of the eyelashes and lower eyelid. With the help of these incisions, the skin is separated from the underlying fat tissue. In this way, the necessary procedures are performed and the surgery is performed.