Friday, December 29, 2017

Why Should Operation of Septoplasty Not Be Performed in Children?

Why should operation of septoplasty not be performed in children? - Septoplasty operation risks in children - Septum deviation treatment in children - Pediatric septoplasty
Why should operation of septoplasty not be performed in children? - Septoplasty operation risks in children - Septum deviation treatment in children - Pediatric septoplasty

The nasal septum is a wall that divides the nasal cavity in the middle. The front part of the septum consists of a sturdy but bendable cartilage and the back part is made of bone. Ideally, the septum should be in the midline and the right and left nasal cavities should be equidistant. In 80% of people, the septum is not exactly midline. The septum is located in a position that deviates much from the midline and is called the septum deviation. 

One of the growth points is located in the anterior part of the nasal septum. There is a risk of injury to these growth points during the deviation surgery in children, where the skull and bone structure grow. Some doctors advocate that these operations can be done in children when limited cartilage resection is done; the general view is that these surgeries should not be done in the first 18 years of life, which continues to grow. 

What are the causes of nasal septum deviation?


Trauma during childbirth, a blow to the nose in early childhood, and most importantly, hereditary features that pass through parents cause nasal septum curvatures. Septum deviation is an extremely common condition in our country for hereditary reasons. The formation mechanisms of septal deviation are various. Rarely, some babies are born with septal deviation due to the curve development of the septum in the womb. Sometimes the septum bends as the baby passes through the birth canal. Bumps, falls, sports injuries, traffic accidents in childhood and adulthood can also cause septum deviation. Septum deviations may also occur as a result of the bone and cartilage parts of the septum developing at different speeds during the age of growth.

What are the complaints of patients with septal deviation?


As a result of impaired respiratory function of the nose, serious problems arise in the development of the nasal cavity, sinuses and, accordingly, the face and jaw. Facial development ends with asymmetry due to aeration disorder of the sinuses. Mouth breathing leads to disruption of the structure of the lower-upper jaw and teeth. In addition, septum deviation; sleep problems, obstructive sleep apnea, upper respiratory tract resistance syndrome, snoring, night bed urination, restlessness-irritability, decreased school success, and physical growth-development retardation. When mouth breathing is used instead of nose, the heating, humidification and cleaning functions of the air with nose functions are disabled. The inhaled air goes directly into the lungs. Deviation negatively affects the sense of smell and therefore taste. Fatigue and excessive sleep occur during the day due to snoring. Bad breath, dry mouth, dental diseases also adversely affect the patient's life.

How is septal deviation treated?

The treatment of the septum deviation is surgery and this operation is called septoplasty. Septoplasty surgery is usually done under general anesthesia. In surgery, the septum is brought to its midline position, which should be made through the nostrils and with incisions that are not visible from the outside after surgery. During the operation, excessive oblique parts of the septum are completely removed, and the parts that can be corrected are reshaped and placed in their place again. The surgery usually takes 20-45 minutes. Septoplasty surgeries can be performed together with nasal aesthetics (rhinoplasty) surgery.

Should surgery be performed on septum deviation in children?


Nasal septum surgery in children has been taboo for many years, with the concern that it will prevent the growth of the growing septum and even lead to deformity. In addition, important points in the growth of the septum have been identified with histology and animal studies conducted in recent years and it has been reported that early correction of the nasal septum affects the growth of the nose and face with the development of protective surgical techniques. As the development of the nose normally determines the nasal septum, the curve not only in the inner part of the nose but in the outer shape
It is observed that the external image of the nose improves in some cases an average of one year after the operation.

At what age can nasal septal curvature surgeries be performed in children?


Cartilage septum grows very fast in the first 2 years of life, then the growth rate slows down and almost stops around 3-5 years old. One of the study is emphasized that "if there is a severe breathing problem related to the septal deviation in patient who younger than 18 yeas old, septoplasty should be performed. However, if necessary, septum deviation correction surgery may be performed in younger children and even at birth" (source link > Septoplasty in children). Other literature review is emphasized about this subject that "despite the majority advocating the timing of septum deviation surgery to be 6 years and older, more clinical studies are needed that may provide further evidence about correction of septal deviations in younger children, perhaps even at birth" (source: Pediatric septoplasy: a review of the literature).

There is consensus that surgery for cartilage septum can be performed in children from 5 years of age when appropriate indication is given.

The more postponed the intervention, the child will have to bear the negative effects of nasal congestion and the problems we have mentioned above will arise. In children with severe nasal obstruction, the earliest septoplasty operation is usually 17 years old. It is the most correct practice to wait until the height extension is possible and the growth is completed. Although limited septoplasty can be performed in severe cases younger than 18 years old. 

Growth usually continues in boys until the age of 22 and in girls until the age of 18.

Is surgery performed in children the same as in adults?


As in adults, this surgery can be performed with closed technique by using endoscopes in children and the results are pleasing.

In order not to harm the child's nasal development, only certain parts are intervened and as little cartilage tissue as possible is removed.

What are the risks of septoplasty surgery in children?


Although safer anesthesia is possible with modern anesthetic drugs, the risk of death from anesthesia is reported as 1 in two hundred percent of the world. It is reported that approximately 1/3 of the children who underwent septum surgery in childhood should be re-operated in adulthood. Our main goal here is to facilitate the child's respiratory function in the period up to adulthood, prevent possible growth retardation and abnormal nose-face development and improve the quality of life.

Since most of the nasal development is completed after adolescence, these children have less chance of success.

The idea of ​​performing this surgery after adolescence is still valid unless it is mandatory. However, children with severe respiratory distress should not be kept stubbornly until adulthood.

In children who cannot get enough oxygen due to nasal curvature and therefore lag growth and development, correct growth and proper surgery can accelerate the growth and development of children and increase school success.

You can find details about "septoplasty in İstanbul" at >> Septoplasty in Istanbul / Open Techique Septoplasty Operation in İstanbul ... / Frequently Asked Questions About Septoplasty Operation in İstanbul ...

Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey
Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47




What is the Best Week for Abortion?

What is the Best Week for Abortion?

The most appropriate week for abortion is the short term between 6 and 10 weeks of gestation, generally accepted. Because, in the short term mentioned above, in the mother's womb, the present embryo becomes large enough to be taken off. In pregnancy, if there is an abortion before 6th week, there may be some medical problems. For this reason, it is very important for the physician to evaluate with regular examination.
When your pregnancy is smaller than 6 weeks, it means that the embryo, which is in the mother's womb, has not reached the size yet to be fully taken, that is, it has not grown. As a method of abortion operation, either vacuum method or sharp curettage method is preferred, unfortunately there is a possibility that the part remains behind the woman's uterine wall or that the pregnancy cut-off can not be completely cleared. Such cases can then create vital, too risky situations for women, leading to severe problems such as very severe pain in women, bleeding in excess, blood collection in the uterus, risk of infection, or perforation of the uterine wall. Because of these reasons, the present pregnancy is at least 6 weeks long and it is very important to terminate the abortion operation in a healthy way.
There are also some important situations in the way of possible complications during the abortion operation. First of all, it is important that the mother candidate whether has never given birth before. It is also important how many times the mother has given birth and how many times she has an abortion. This information should be clearly stated to the doctor. Because the number of births enhances the possibility the rate of complications that will emerge increases accordingly.
Moreover, as the mother of the abortion candidate grows older, the likelihood of complications also increases. Compelling situations in the body, hormonal troubles can make the woman's condition even more difficult. As the gestational week progresses further, the potential risks increase. For this reason, it should be acted immediately for the abortion procedure before it is too late. With each passing day, the risk of possible complications is also increasing. The health of the patient is important, and the information to give to the doctor is also important.
The fact that your pregnancy is not bigger than 10 weeks is also a necessary point for the legal procedure. The exact legal time for an abortion operation in our country is the end of the 10th week of pregnancy.

It is forbidden in our country to terminate a pregnancy with an abortion operation after the 10th week of pregnancy, and the criminal procedure is carried out seriously to the institution that performs the abortion process, to the patient and the doctor perform the operation in this sensitive subject.
In addition to this criminal procedure, of course, this process carries great life risk, primarily for the health of the mother. However, if a delegation report confirms that the present pregnancy is a life-threatening risk for the mother, or if the baby is growing up in the womb, then the abortion can be done after the 10th week. However, the delegation report and family approval is absolutely essential.
The person who will decide again in the best week for abortion is of course your doctor. Your doctor will make a pre-requisite for examination and examination meetings and you must submit your request for a preliminary abortion procedure yourself and this should be taken with your doctor. The condition and placement of the embryo in the vaginal examination to be done with ultrasonografic will be determined clearly and the gestation week will be precise with precise measurements.
The best time for an abortion operation will be determined by your doctor in this way. The purpose of your doctor is to convey the importance of taking precautions. All of this information is of great importance to you in your own health and certainly should be followed in all the letters. You will plan to live later, please take care of yourself for pregnancy. Do not forget that abortion is a surgical intervention, even if it is small-scale.

For more information you can call to Bakırköy Abortion Center

Dr.Ismet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: (0212) 542 87 85
Mobile: (0532) 325 30 08
Fax: (0212) 542 74 47
Website: http://www.drismetyildirim.com/


Monday, December 25, 2017

What is The "Nasal Septum Deviation" and "Septoplasty Operation"?

The structure consisting of cartilage and bone tissue, which divides the nasal cavity vertically, is called nasal septum. If the nasal septum is curved to the right or to the left, the air passageway on the side of the curvature is narrowed and nasal obstruction may occur. This condition is called "nasal septum deviation".

"Nasal Septum Deviation" and "Septoplasty Operation"

What is the cause of the septum deviation?


Babies can be born structurally with septum deviation, as well as with trauma during the passage of the baby through the birth canal at birth.

Although it does not complain about childhood bumps, falls, injuries at the moment, it may cause deviation as a result of the development of bone and cartilage parts of septum at different speeds during growth.

Genetically, some people have nasal shape differences and deviations that become apparent in adulthood.


Nasal Septum Deviation - Paranasal Sinus Tomography

What are the symptoms of the septum deviation?


The most common symptom of Septum deviation is difficulty breathing through the nose. It may cause breathing difficulties in one nose or both noses. In some people with mild septum deviations, the symptoms only appear during colds. The swelling caused by the respiratory tract infection in the nasal tissues makes mild obstruction not normally noticeable.

Nasal congestion seriously impairs a person's quality of life.

 The septum deviation can cause the following problems:
  • Single or double sided nasal congestion
  • Recurrent nosebleeds
  • Recurrent sinusitis, pharyngitis, bronchitis
  • Pain in the facial area, headache, nasal discharge
  • Impaired sound quality, speech from the nose
  • Snoring, apnea,
  • Eustachian tube obstruction, Fluid accumulation in the ear

Caudal Septal Deviation


Caudal Septal Deviation


The part of the nasal septum that is closest to the ground, that is, when you look at the nostrils in front of the "columella" which is the section between the holes immediately behind the "caudal septum" section is very important especially in the support of the tip of the nose and in The Shape of the tip of the nose. It is the case that the lower part of the nasal septum is dislocated from the midline to one side (also called"Anterior Septal dislocation"). The curves in this section are justified as "caudal septum deviation","caudal septal deviation"or "anterior septal deviation" as illustrated by my patient above, which can cause major 3 problems (source: Caudal septal deviation):

  1. nasal congestion
  2. trapezoidal nose tip
  3. columellar irregularities
Patients with caudal septum deviation usually have a protrusion that can be seen from the front just behind the columella and inside the nostril, and a septum deviation in the opposite nasal cavity further back, as seen in the above photograph.

The nasal tip support is reduced as a result of the shift of the caudal septum to the side, and generally patients may notice that the tip of the nose is softer than normal when they touch the tip of the nose, spreading sideways or dangling while laughing. Sometimes patients can describe a sitting sound rather than a sound due to the movement of the caudal septum region during hand play.

Causes of caudal septum deviation


The causes of nasal septum deviation also apply to kayudal septum deviation and can be summarized as follows::
 the most common cause of caudal septum deviation is trauma to the face region (perhaps especially to the tip of the nose).)
- direct compression and trauma of the nose during childbirth (in this way can also be considered a congenital disease)
- genetic connective tissue disorders such as Marfan syndrome, homocystinuria, and Ehlers-Danlos syndrome, which can cause septum deviation

How is septum deviation diagnosed?


In septal deviation, the diagnosis is made by endoscopic detailed examination of the nose.
Nasal breathing can be determined objectively by rhinomanometric measurements. With acoustic rhinometry, volume stenoses of each nasal canal can be detected.
If there are other problems such as sinusitis swelling and allergy, films, tomography and laboratory examinations can be made.

How is septal deviation treated?


Surgery is the only treatment option for nasal midline bone curvature. The curvature in the nasal bone is corrected with an operation called septoplasty. This surgery can be performed under local or general anesthesia. It is often performed under general anesthesia for patient comfort. The operation time is 30-45 minutes, except for anesthesia. The surgical incision is made through the nose. Bones that block the nasal air passage are removed, cartilage curvatures are corrected if they can be corrected. If there is swelling in the nose, it is corrected in the same operation. The airway opens. Nasal tampon is mostly applied after surgery. Many types of tampons can be used after these surgeries. However, mostly air channel silicone buffers are preferred recently. Since these patients receive air with these tampons, they spend the postoperative period more easily. Since it is silicone, the buffering phase is also more comfortable. As a result of this surgery, there is no skin cut or shape change in the external structure of the nose. Bruising or swelling under the eyes are not observed.

Nasal Septum Deviation


The nose has many positive health-related functions. If the cartilaginous curvature is excessive, the airway may close completely on the side of the curvature. For the purpose of treatment, deviation surgery is performed. Surgery is a very common procedure. It can be used in the sense of curvature of the nose, curvature of the cartilage, or curvature throughout the nose. Septum deviation surgery is the correction of the cartilaginous curve in the nose.

Septoplasty Operation + Radiofrequency Turbinate Reduction
Septoplasty Operation + Radiofrequency Turbinate Reduction  - Septoplasty in İstanbul

It is usually done with Radiofrequency Reduction of Inferior Turbinates. In the above photograph, an intranasal air passage is seen before, after and after the patient in which septoplasty operation + radiofrequency turbinate reduction operations are performed. 

In general, nasal septum deviation is very common and it is among the most common otorhinolaryngologic procedures. As far as possible, the anatomical structures present are planned to be modified by minimally altering and minimally removing cartilage tissue.

Differences of caudal septum deviation surgery compared to normal septum deviation surgery


Open technique septoplasty operation

In patients with caudal septum deviation, it is not sufficient to remove only the curved part as in normal deviation operations. This section is very important for the support of the tip of the nose and for the upright position of the tip of the nose. If the area of curvature is removed, the tip of the nose may fall and the airway section in the nose may decrease as a result of the re-emergence of nasal congestion over time, may cause problems such as deformity in the nose. In patients with caudal septum deviations, an open technique nose tip aesthetic approach, after removing the curve in front of the septum instead of a cartilage graft taken from the back of the support or partial resection with closed technique and instead of sliding into the septum should be planned in the form of treatment. So just simple cartilage removal is not enough

Should every septum deviation be surgically corrected?


80% septum deviation is observed in the society. In most of the ear, nose and throat examinations, which are frequently performed for other reasons, we encounter septum deviation at different rates. The important thing when deciding on the operation is the patient's complaints rather than seeing and detecting the curvature. We should not forget that we will treat the patient, not the image. If the septum deviation presents clinical complaints, it should be corrected. In other words, if our patient has complaints such as nasal congestion, pressure in the ear, headache, snoring, sleep with open mouth and this reduces the quality of life of the person, the operation is planned. As a result of this operation, the quality of life of the person will increase.


You can find details about "Septoplasty in İstanbul, Radiofrequency Turbinate Reduction in Istanbul" at >> Radiofrequency Turbinate Reduction in Istanbul / Septoplasty in Istanbul / Open Techique Septoplasty Operation in İstanbul / Frequently Asked Questions About Septoplasty Operation in İstanbul

You can find details about "Nasal septum deviation definition - Nasal septum deviation causes - Symptoms of deviated septum - Diagnosis of septum deviation with turbinate hypertrophy - Treatment of nasal septum deviation - Septoplasty in Istanbul - Septoplasty in Turkey" at >> Nasal Septum Deviation - Symptoms, Diagnosis and Treatment

Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey
Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47


Monday, December 18, 2017

Middle Ear Infection in Children

Acute Otitis Media in Children

Symptoms of Middle Ear Infection in Children - Where The Microbes Come From to The Middle Ear? - What Are The Symptoms Of Middle Ear Infection? - What Are The Protective Measures For Middle Ear Infection? - Treatment Of Middle Ear Infection?
Symptoms of Middle Ear Infection in Children - Where The Microbes Come From to The Middle Ear? - What Are The Symptoms Of Middle Ear Infection? - What Are The Protective Measures For Middle Ear Infection? - Treatment Of Middle Ear Infection?



I think it may be true to write this article at this time that the children who are diagnosed with acute otitis media (acute otitis media - AOM) are rapidly increasing and have an epidemic of influenza infection.

Middle ear infection is an infectious disease frequently seen in children aged 6 months to 6 years (most often the second year of life).

In the middle ear, infection usually occurs following viral upper respiratory tract infections.

Where The Microbes Come From to The Middle Ear?


It has been shown that microbubbles run counter-current to the middle ear from the tracheal tube, which provides ventilation of the middle ear and air passage between the middle ear and nasal region.
In children with middle ear infection, it is thought to have spread to the ears from the nasal region of these microbes.

What Are The Causes of Middle Ear Infection in Children?


Causes of middle ear infections can be of different origin:

  • Eustachian tube originated: otitis media is mostly seen in children. Although otitis media is less common in adults, it can lead to more serious problems. The most important reason for otitis media to be seen more frequently in children is due to the eustachian tube. The Eustachian canal, which helps regulate air pressure in the middle ear, renew the air in the ear and drain normal secretions from the middle ear, is shorter, more horizontal and wider in children. This increases the possibility of clogging by making it difficult to remove the liquid accumulating inside.
  • Originated meat: Adenoid, or adenoid, is located close to the aperture of the Eustachian canal. The swelling of the juvenile meat, which is larger in adults than in adults, increases the risk of ear infections due to various reasons.
  • Age: middle ear infection is more common between the ages of 6 months and 2 years.
  • Premature birth or low birth weight
  • Personal risk factors such as cleft palate, head-face anomalies or Down syndrome
  • Frequent upper respiratory tract infections in autumn and winter seasons
  • Nurseries
  • Exposure to cigarette smoke
  • Environmental factors such as breastfeeding or bottle feeding are among the causes of otitis media.


What Are The Symptoms Of Middle Ear Infection?


Middle Ear Infection - Acute Otisi Media

In a child, the presence of the following symptoms may suggest that middle ear infection has occurred:

- Earache
- Fever
- Restlessness
- Fullness in the ear
- Hearing loss
- Purulent or bloody discharge

When the agents of the middle ear infection are viruses, high fever may not be seen. However, it is not necessary for middle ear infections to be present in every child who hears his ear. Children who have ear ache and otitis media in the middle ear may also need to touch their ears or stir their ears.


Symptoms of Middle Ear Infection in Children - Where The Microbes Come From to The Middle Ear? - What Are The Symptoms Of Middle Ear Infection? - What Are The Protective Measures For Middle Ear Infection? - Treatment Of Middle Ear Infection? Symptoms of Middle Ear Infection in Children - Where The Microbes Come From to The Middle Ear? - What Are The Symptoms Of Middle Ear Infection? - What Are The Protective Measures For Middle Ear Infection? - Treatment Of Middle Ear Infection?
    
What Are The Protective Measures For Middle Ear Infection?


For middle ear infection, it is important to take the following measures:

- Keeping the child away from the crowded and smoking environment from children with upper respiratory tract infection
- In nursery or children from school, the hand is next to the face wash; washing the nose with spray water containing salt water

It is very difficult to prevent middle ear infections in working mothers and fathers, especially those who have to go to nursery environments where sick children are present.


Treatment Of Middle Ear Infection?


Otorhinolaryngology doctors carry out diagnosis and treatment of otitis media. If the symptoms persist for more than a day, a symptom of otitis media in a child younger than 6 months, severe ear pain, the baby or the child is restless after an upper respiratory infection, fluid or pus from the ear should be consulted without delay. Since the treatment of otitis media includes surgical methods, the selection of a doctor who has experience in this field and the hospital with its infrastructure can prevent more serious problems that may arise in the future.

Middle Ear Infection in Children


For treatment of middle ear infection, oral pain relief syrup, ear drip, oral antibiotic treatment and patient follow-up can be planned. The patient must be evaluated by an otolaryngologist. It is usually suitable to protect the ear from water contact for 1-3 weeks. Patients with good overall condition may also be monitored for pain relief and decongestant medication on a doctor-controlled basis.

What drugs are used to treat middle ear infection?

  • Middle ear infections are used to relieve pain and to relieve infection.
  • Over-the-counter drugs containing acetaminophen or ibuprofen can be taken to relieve pain.
  • If there is no hole or tearing in the eardrum as a result of otitis media, anesthetic drops can be used to relieve pain.
  • Middle ear inflammation drops can be ready or handmade drops prepared in pharmacies can be used.
  • Antibiotics used by mouth or ear drops are among the drugs used in the treatment of otitis media.
  • The benefits of decongestants used in nasal congestion and antihistamine drugs used in allergies are controversial.


Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey
Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47


 

Sunday, December 17, 2017

Nasal Obstruction in Children


​Nasal Obstruction in The Pediatric Patients - Functions of the Nose - Causes of Nasal Obstruction - Diagnosis of Causes of Nasal Obstruction and Different Symptoms - Diagnosis of Causes of Nasal Obstruction and Different Symptoms - Nasal Obstruction Due to Upper Respiratory Tract Infections - Treatment of Nasal Obstruction in Children and Infants - Why Nasal Obstruction Occurs in Babies More Easily? - Adenoidectomy in İstanbul - Adenoidectomy in Turkey
​Nasal Obstruction in The Pediatric Patients - Functions of the Nose - Causes of Nasal Obstruction - Diagnosis of Causes of Nasal Obstruction and Different Symptoms - Diagnosis of Causes of Nasal Obstruction and Different Symptoms - Nasal Obstruction Due to Upper Respiratory Tract Infections - Treatment of Nasal Obstruction in Children and Infants - Why Nasal Obstruction Occurs in Babies More Easily? - Adenoidectomy in İstanbul - Adenoidectomy in Turkey


Nasal Obstruction in The Pediatric Patients


Nasal obstruction is a condition that can accompany different illnesses and conditions and can sometimes lead to serious health problems. Infants, especially because they are dependent on the nasal breathing, can be much more seriously affected by nasal obstruction.



Functions of the Nose:


- Smelling
- Filtering the respiratory air (nose air enters the turbulence, hitting the nose, most of the particles and microorganisms present are trapped)
- Humidification of inhaled air
- Heating of inhaled air
- Increased respiratory air pressure to reach the lungs to the tip airways.

Causes of Nasal Obstruction


- Allergic diseases
- Upper respiratory tract infections
- Intranasal foreign bodies
- Growth of genitals
- Nose growth
- Curvature of nasal septum (nasal septum deviation)
- Koanal atresia
- Nasal valve problems
- Intranasal tumoral masses
- Nasal polyps
- Drug growth and mucosal thickening due to drugs used
 

Sometimes in children and babies

- gastroesophageal reflux
- milk allergy
- mother syphilis story
- congenital intranasal masses (esephalocele, glioma, dermoid cyst) can also cause nasal obstruction.

Diagnosis of Causes of Nasal Obstruction and Different Symptoms


Diseases and conditions that cause nasal obstruction have some specific signs and symptoms. These can be summarized as follows:


Nasal Obstruction Due to Allergic Rhinitis


In addition to nasal obstruction, symptoms such as nasal discharge, nasal discharge, sneezing and sometimes cough are also present in allergic diseases. Usually these symptoms last longer than the nasal discharge and nasal discharge seen in upper respiratory tract infections. There is no fever weakness, which is an indication of infection in the patient.

Nasal Obstruction Due to Upper Respiratory Tract Infections


Patients often have symptoms of infection (weakness, body aches, muscle aches and fever). The presence of symptoms such as fever and nasal discharge, sneezing suggests viral infection.

Nasal Obstruction Due to Choanal Atresia


The nasal opening areas of the nostrils are called "choanal". It is called "Choanal Atresia" that these areas of origin are covered with bone and mucosa (sometimes just a thin membrane). When the baby is bilaterally born, it can cause severe breathing difficulties. Together, genital, urinary and cardiac anomalies can be found. Sometimes diagnosis may be delayed when it is unilateral. The diagnosis of Choanal Atresia is supported by the inability of the newborn baby to nudge the nose; nasal endoscopic examination and computed tomography. In babies with Choanal Atresia, crying and relieving with a cut bottle are typical characteristics. In the case of Choanal Atresia Treatment, if the sonde can not be advanced, the atriasis is surgically removed. You can find more information about Choanal Atresia at link:​​ Koanal Atrezi (Burnun Doğumsal Tıkanıklığı)

Nasal Obstruction Due to Nasal Polyp


Nasal polyps are rare in infants. In children with polyps, different diseases such as ciliary dyskinesia, Churg-Strauss Syndrome, widespread variable immunodeficiency and selective IgA deficiency can be coexistent. You can find more information about Nasal Polyps at: A Rare Cause of Unilateral Nasal Congestion: Antrochoanal Polyp

Nasal Obstruction Due to Adenoid Hypertrophy



Adenoid hypertrophy - Causes of adenoid hypertrophy - Treatment of adenoid hypertrophy - Symptoms of adenoid hypertrophy - Adenoidectomy operation video - Diagnosis of adenoid hypertrophy - Adenoidectomy in İstanbul - Adenoidectomy in Turkey
Adenoid hypertrophy - Causes of adenoid hypertrophy - Treatment of adenoid hypertrophy - Symptoms of adenoid hypertrophy - Adenoidectomy operation video - Diagnosis of adenoid hypertrophy - Adenoidectomy in İstanbul - Adenoidectomy in Turkey

Sometimes the adenoid tissue in a lymph node structure can grow. If adenoid tissue grows (adenoid hypertrophy), symptoms such as mouth open sleeping, nasal obstruction, middle ear fluid, recurrent sinusitis may be seen in children. Nasal endoscopic examination is usually sufficient for the diagnosis of adenoid hypertrophy. Adenoidectomy is performed in the treatment. You can find information about the subject link: Adenoidectomy in İstanbul

Nasal Obstruction Treatment


Nasal obstruction may be due to one or more of the above mentioned indications. Causes and conditions should be treated. Simple ear nose throat examination and endoscopic examination are usually sufficient to reveal each cause. Occasionally, MRI or Computerized Tomography is required. The use of some of the medicines used for nasal congestion treatment in infants in infants should be avoided. Likewise, in children under 18 years of age, cartilage curvilinear surgery (smr surgery / deviation surgery / septoplasty surgery) performed in the treatment of nasal obstruction is inconvenient.


Treatment of Nasal Obstruction in Children and Infants


Children under 2 years are advised not to use flu medicines, some allergic syrups. Similarly, intranasal cortisone sprays used in allergic rhinocerebral infections should be avoided in children under 2 years of age. The best practice for nasal obstruction in infants is to administer saline to the nose as well as to treat diseases that can cause nasal obstruction, such as existing allergic diseases, infectious diseases. Even infectious infections are beneficial in the treatment of saline drops in the nose, improvement of ocean water spray application, and nasal obstruction.

Why Nasal Obstruction Occurs in Babies More Easily?


Infants' airways have different characteristics than adults. Babies who are dependent on nasal breathing have narrower airways and lower respiratory capacities than adults. In infants, a small amount of intranasal drainage or mucosal edema can cause serious nasal obstruction. For this reason, nasal obstruction in infants is more likely to occur.


Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey
Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47



Friday, December 15, 2017

About The Healing Process After Nose Tip Plasty Operation

Healing process after nose tip plasty - Swelling after nose tip plasty in Turkey - Tip plasty in Istanbul - Tip plasty in Turkey - Revision tipplasty in Istanbul - Nose tip plasty in Turkey - Tip rhinoplasty in Istanbul - Nose tip surgery in Turkey- Nose tip lifting - Burun ucu estetiği Bakırköy - Nose tip aesthetic surgery - Nasal tip surgery Turkey
Healing process after nose tip plasty - Swelling after nose tip plasty in Turkey - Tip plasty in Istanbul - Tip plasty in Turkey - Revision tipplasty in Istanbul - Nose tip plasty in Turkey - Tip rhinoplasty in Istanbul - Nose tip surgery in Turkey- Nose tip lifting - Burun ucu estetiği Bakırköy - Nose tip aesthetic surgery - Nasal tip surgery Turkey

​Nose tip plasty operation (or tipplasty surgery / nose type rhinoplasty / type plasty surgery) is ideal for patients who have problems only in the nose tip region (nose drop, nose tip asymmetry, large nose tip etc.). Unbuffered nose tip surgeries has become an application we have often made.

I would like to summarize the following who are waiting for you during the healing period after the nose tip plasty operation :​ ​​ ​​ ​​

- Unlike rhinoplasty operation, no bone broken techniques are applied to the nasal bone. After the nose tip surgery, there is no visible jaundice, no bruising (if nasal hump reduction is performed, the bruise appears on the nose).

- Nose bandage  and external nasal splint are not applied (if nasal hump removal is performed at sametime, nos ebandage can be applied).


- If septoplasty operation and turbinate radiofrequency operation for nasal breathing problems are performed during operation, silicone splint or dissolving buffer may be placed in the nose.

- As the nosebone is not touched like nose tip aesthetic surgery, the impact of the nose during sleep may not cause problems in the short term; patients with nasal aphasia are still sleeping for at least 3 weeks on the nose (position on the face).

- Glasses can be used after 2-4 weeks (please consult your physician in this regard and do not use heavy glasses, do not wear glasses in the nose tip region)

- I usually prefer open surgical nasal aesthetic surgery and all the stitches on the nose tip will spontaneously fall within 1-3 weeks.

- Moisturizing drops and spray must be applied to the nose after the procedure.

- There is an increase in nasal edema in the first week after the procedure and it usually decreases within weeks and this edema will cease to exist. Patients with thick nasal skin may have more nasal edema.


Open Technique Nose Tip Plasty Operation

It is very important to know that the swelling caused by surgery is a temporary condition where the nose appears temporarily wider and the tip is opened more and become less refined than desired. You will notice that the swelling of the nose begins to decrease within a few days. All the swelling in your nose will be greatly reduced in the first few weeks after surgery. Although most of the swelling will resolve within a few months, your nose will continue to heal for up to a year after surgery. Patients who only undergo septal surgery do not normally show significant swelling outside the nose.

You can find details about "Healing process after nose tip plasty - Swelling after nose tip plasty in Turkey - Tip plasty in Istanbul - Tip plasty in Turkey - Revision tipplasty in Istanbul - Nose tip plasty in Turkey - Tip rhinoplasty in Istanbul - Nose tip surgery in Turkey- Nose tip lifting - Burun ucu estetiği Bakırköy" and before and after photos at >> Nose Job in İstanbul, Turkey

On the below you can see some photos which about nose tip plasty, nose job without bone broken, nasal hump removal:

 
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey


Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey


Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey


Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey



Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey


Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey


Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey



Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey


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Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey



Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey



Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey



Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey



Yamuk burun tedavisi - Eğri burun tedavisi - Eğik burun ameliyatı - Kemik kırmadan burun estetiği - Burun ucu estetiği - Burun kemeri törpüleme - Kıkırdak macunu ile yamuk burun düzeltme - Eğri burun ameliyatı izle - Yamuk burun ameliyatı - Burun ucu ameliyatı - Rhinoplasty without breaking bone - Rhinoplasty in istanbul - Tip plasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey


Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
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Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul



Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul

 
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Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul


Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul

Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul
Rhinoplasty without breaking nasal bones - Nose job without breaking bone - Rhinoplasty without breaking bone - Nasal aesthetic surgery without breaking the nasal bone - Rhinoplasty in İstanbul, Turkey - Nose job in İstanbul, Turkey - Special offer for rhinoplasty without bone broken in İstanbul, Turkey - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul





burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)


burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)


burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)


burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose



burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)




burun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbulburun ucu estetiği - burun ucu estetiği ameliyatı - burun ucu düzeltme - burun ucu kaldırma - burun ucu ameliyatı - tip plasti kemik kırılmadan burun estetiği - burun kemeri törpüsü - burun törpüleme ameliyatı - burun kemeri törpüleme - burun kemeri törpületme - burun törpüsü - burun kemeri düzeltme - burun törpüleme ameliyatı izle - burun törpüleme işleminden sonra gözlerde ve yüzde morluk olur mu? - tip plasty istanbul - nose surgery istanbul - nose tip plasty istanbul - nose tip lifting - tip rhinoplasty in istanbul - kemik kırılmadan burun estetiği - burun ucu estetiği ve burun törpüleme ameliyatı - burun kemiği kırılmadan burun şekillendirme - burun kemiği kırılmadan burun estetiği nasıl yapılır? - removing nose bump without breaking the nose - nasal hump removal without breaking the nose
Burun Ucu Estetiği + Burun Kemeri Törpüleme (Nose Tip Plasty + Nasal Hump Removal Without Breaking The Nose)

Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey
Bosphorus - Istanbul - Turkey - ENT Doctor Istanbul - ENT Specialist Istanbul - Nose Job Istanbul - Rhinoplasty Istanbul - ENT Office Istanbul - Dr.Murat Enoz - ENT Clinic Istanbul - ENT Doctor in Istanbul - Nose Job in Turkey

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47