Friday, December 13, 2019

Health Problems Due to Wrong Nose Aesthetic Surgery

Problems That May Occur After Wrong Rhinoplasty Operation

Health Problems Due to Wrong Nose Aesthetic Surgery

Beauty has an important place for many women and even some men. When they look in the mirror, there are many people who want to change places they don't like. Most people think they have noses where they see defects. That's why they get a nose job. However, many people are not satisfied with the newly made nose again, knocking on the doctor's door. Some even go to the plastic surgeon complaining that he cannot breathe with his new nose.

How should the nose be operated?

Some of the size, some of the curvature of the mind while attaching to others, while taking care of someone else can turn to the nose aesthetics. Especially women showed great interest in rhinoplasty, as well as in the world, Turkey is one of the most commonly performed cosmetic surgery. However, there are some important points to be considered in order not to be disappointed after the operation. Otherwise, there will be many serious problems, from the mismatch of the nose to the face, and the inability to breathe! There should not be an exaggerated, operative appearance that anyone can notice from a distance in a successful nose aesthetic; nose should be made in a naturalness that cannot be easily understood even with the professional eye. The nose must be in itself and proportionate and compatible with the face. Of course, while correcting the shape should not make it difficult to breathe through the nose, breathing problems should be corrected.

You can find details about "Rhinoplasty" and before and after photos at >> Rhinoplasty in Istanbul

Aesthetically operated nose is become too lifted?

Many people with nasal aesthetics can look for their old nose. The second operation in nose aesthetics is mostly due to complaints about appearance and function. In patients with deformities, the most frequent problems are collapses due to excessive bone and cartilage removal or swelling and asymmetries of excess tissues. Complications such as having the nose tip too high or low, collapse of the nostrils and bone and cartilage supports that keep the airway open, the curvature of the wall separating the nasal cavity called septum in two, and adhesions in the skin and mucous membranes may cause breathing problems. In the meantime, the surgeon does not operate by himself in the secondary surgery, which can not be noticed by the examination should be prepared for surprises. It is very important for the person to find an experienced surgeon who can solve these surprises and correct the complications.

What awaits a person after a nose job?

Since the wound healing process is completed in one year for people who have nasal esthetics, it is ideal for a secondary operation and to wait one year after the first operation. First, the most important source of cartilage is the septum cartilage. Ear and / or rib cartilage may be used according to need, if taken, used or insufficient in previous nose aesthetic surgeries. Sometimes it is necessary to benefit from fat and connective tissues. These materials simulate the missing tissue or camouflage the deficiency to achieve normal appearance and function. These procedures require serious experience, craftsmanship and art.

Health Problems Due to Wrong Nose Aesthetic Surgery

In the last period, everything from fashion to beauty feeds to aesthetics turns to natural. Aesthetic concepts change with the return to naturalness. For example, the nose, which we liked in the past, is now far from being natural and the noses that appear to be corrected with small touches are preferred. Nose aesthetics (rhinoplasty) process by changing the structure of cartilage and bones to reshape the nose. In order to create a more aesthetic nose shape, it is sometimes necessary to cut the bones and cartilages, and on the contrary, to complete their missing parts and to change their shape.

Health Problems Due to Wrong Nose Aesthetic Surgery

Rhinoplasty or aesthetic nose surgery is the most difficult and aesthetic surgery to accept the surgery is the most unknown.

Why nose aesthetic operation is a difficult surgery?

Health Problems Due to Wrong Nose Aesthetic Surgery
Aesthetic nose surgery is difficult because the nose is like a closed box, and you only have to perform this surgery on one side of this box. In this surgery, the unknowns are numerous because the bone and cartilage that make up the structure of the nose are found independently of each other but as a whole and may behave differently during the recovery period. This is why the most common revision, that is, a second correction surgery, is aesthetic surgery. It is normal for a world-class surgeon to have to revise one out of every 10 cases.

On the other hand, when this operation is performed well, it gives very good results.

If you still don't like what you see in the nose

Before the revision nose aesthetic surgery, a recovery period of six months should be passed after the first surgery. In the meantime, you have the opportunity to evaluate the results in detail, and you can determine any additional needs you may need with your doctor. Another reason for waiting is to allow the scar tissue to mature. In this way, your doctor will have the opportunity to operate a healthy tissue. If you do not like the result even after a few years after your surgery, you can have revision nose aesthetics.

Inverted-V deformity

Especially in photos taken with flash, the formation of an inverted V-shaped shadow on the back of the nose is called Reverse V Deformity. It is often seen in surgical noses. This issue arises for 2 reasons. The end of the bone in our nose and cartilage where the cartilage tissue is missing can cause this. This problem may be due to excessive cartilage intake or lack of support. The second reason is the inability to close the bone roof after opening the nose belt. To prevent inverse V deformity, it is necessary to ensure that the nasal bones are shaped to close the roof. In addition, long cartilage supports are placed in the form of beams on both sides of the septum cartilage. Thus, a natural-wide nose ridge is formed, and the bone-cartilage transition line is softened and shadow formation is prevented. These support cartilages also increase the angle called the internal nasal valve and contribute to the patency of the airway.

Saddle nose deformity

Saddle nose deformity

Looking from the side of the back of the nose is collapsed that is called as "Saddle Nose Deformity". This is due to two applications. Firstly, trying to make an extremely curved nose can cause this nose. Already now very curved nose is required by very few people. In recent years, we are making more natural, balanced heights and flatter noses. The second reason is the application of very aggressive surgery to the septum during the treatment of the curvatures of the septum (the central supporting structure of the nose, consisting of bone and cartilage in the middle of the nose), or the removal of the entire part of the septum, resulting in the appearance of the nose of the nose. We know that the septum is the basic support of the nose. Minimalist approaches are now being used during surgical procedures applied to the septum. Only the curved part of the septum is corrected without disturbing the support function. But it is necessary to correct the curvature of the septum. Because a septum that is not in the middle both prevents breathing and makes the nose look curved from the outside.

Nasal septum perforation

During rhinoplasty operations, full-thickness perforation of the nasal septum may occur. Symptoms such as dryness, crusting, and whistling during breathing may occur in amounts varying depending on the location and size of the nasal septum perforation.

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
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47

Sunday, December 1, 2019

Eardrum Surgery - Classical and Endoscopic Techniques

Eardrum Repairing Operation in Istanbul

Eardrum surgery in Istanbul

The eardrum allows the sounds coming from the outer ear to be collected and transmitted through the middle ear. In other words, it is a surface area where sound waves multiply and vibrate. But it also serves as an important barrier between the outer ear and the middle ear. When the eardrum is punctured, water escaping to the ear causes infection, causing the ear to flow.

Causes of eardrum perforation

Eardrum inflammation in childhood, eustachian tube problems between the ear and nose, some vaccines are not given or incomplete, structural problems, traumatic causes (traumatic eardrum perforation) and upper respiratory tract infections may remain due to the hole. If the tympanic membrane is punctured due to traumatic causes, the eardrum may renew itself within 4-6 weeks. If it is not renewed within this period, the eardrum perforation remains permanently. Perforation of the eardrum during childhood causes hearing loss and lags behind in education. In later ages, when hearing loss is added to the hearing loss due to the fact that the eardrum is a hole, communication becomes worse. In the middle age group, the eardrum plays a role in restricting social life. Nowadays it is very easy to solve this problem with the opportunities provided by technology. In the past, behind the ear opened and wrapped around the head methods are not used today. In the current technology, the eardrum can be easily repaired by endoscopic cartilage through the ear canal. Those who are forced to enter the sea because the eardrum hole in the pool when taking a shower, people who are worried that water will escape. Because the eardrum is a hole, people with communication problems can easily get rid of this problem.

How can you understand the your eardrum perforation?

The following complaints should be taken into consideration in order to understand that the eardrum is perforated; ear pain, discharge, small or large-level hearing loss, frequent tinnitus, dizziness and related nausea and vomiting complaints, facial loss may occur, such as ear sounds previously heard in the ENT doctor should be examined. The tympanic membrane treatment varies according to the severity of the tear, and if a small tear occurs, it may be closed spontaneously and may not require surgery. If the tear is large, different surgical procedures are performed.

When the hole in the eardrum becomes permanent, it is treated with operations called myringoplasty and tympanoplasty. These operations are based on the closure of the eardrum with tissue (patch).

How is eardrum surgery performed?

Eardrum surgery is performed under local or general anesthesia. It can be applied by different techniques. Surgery can be performed behind or behind the ear. However, to be made through the ear, the hole must be small or the ear canal should be of suitable width. The tissue (patch) placed to close the hole can be ear cartilage, cartilage membrane, both, or the membrane of the chewing muscle behind the ear.

It takes about 2-3 weeks for the patch to integrate with the eardrum. Eardrum surgery is usually a successful operation. However, it may be necessary to repeat if the hole does not close. It takes 2-3 months for hearing to improve. Please wait at least 6 weeks to comment on hearing.

Period after eardrum surgery

The period following the tympanic membrane surgery is as follows;

  • The ear dressing is removed after 24 hours.
  • The tampon in the outer ear canal is removed in about 1-3 weeks.
  • Although mild pain can be resolved with simple painkillers.
  • There may be a slight decrease in discharge.
  • Slight drowsiness in the area may occur if an incision is made behind the ear. This is normal and corrects spontaneously.
  • The materials put in place to fix the patch melt automatically and do not need to be removed.

Patients are discharged the next day after the necessary dressings and care after the eardrum repair surgery. It is recommended to be protected from influenza and similar viruses for one month after surgery. In addition, care should be taken to avoid any physical impact to the ear. It is also important to prevent water from escaping into the ear. In case of contact with water it is recommended to block the ears with vaseline cotton.

The mouth should not be closed when sneezing is needed. The drug should be used for 2 weeks to prevent severe coughing. Surgical ear should not be touched with water for 2 months and should be cleaned with the ear cleaning method recommended by the doctor.

Patient considerations after eardrum surgery

There are some points that the patient should pay attention to after eardrum surgery. These;

The first week following the surgery, the head should be lying up (2-3 pillows can be used).
It should be fed with soft, fibrous and aqueous foods.
Coughing, pushing should be avoided.
Heavy physical activity and sport should be avoided for at least 1 month and water sports for at least 6 months.
It should not be lifted heavily for 15 days after surgery.
Water should not be leaked to the ear for at least 2 months after the operation. For this purpose, the ear can be protected with vaseline cotton or tampon.

Differences between classical and endoscopic eardrum surgeries

In conventional eardrum surgeries, tissues were usually opened with an incision of approximately 4-6 cm in front of the ear, less likely behind the ear, and surgical procedures were performed with a microscope. The operation time was 3-4 hours because of the risk of bleeding depending on the size of the incision. For the repair of the tympanic membrane, pieces of tissue are removed from the back of the ear and large wound cavities occur in this area. Microscope is used in the surgery, when the operation is finished, a tampon is placed to prevent the ear canal from being clogged, tissue is collected in places where blood accumulation, abscess inflammation and hard coils were made under pressure. However, with the developing technology, there have been serious improvements in ear surgeries. Endoscopy (micro camera) is now used in ear surgeries. In this way, the ear canal without any incision with the help of the camera and special surgical instruments can be easily repaired using the eardrum. With this method, the bleeding remains at the level of micro hemorrhage, and there is no need for stiff pads and dressings because there are no sutures and wounds due to incision. In experienced hands, the dice can be repaired in as little as 45 minutes. Since the suture is not a dressing pad, the patient has almost no pain and can return to normal life in as little as 2 days. In a short time, painless, seamless, quickly return to normal life with this method, ear surgery is no longer fearful for patients. This method is performed by experienced ear surgeons who have been specially trained for this application.

You can find details about "Rhinoplasty in İstanbul" and before and after photos at >> Endoscopic Eardrum Repair in Istanbul / Perforated Eardrum - Definition, Causes, Symptoms, Treatment / Causes, Symptoms, Diagnosis and Treatment of Ear Drum Hole 

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
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47

Saturday, November 30, 2019

Details About Revision Rhinoplasty Operation

Revision Nose Aesthetic Surgery in Istanbul, Turkey

Revision Rhinoplasty Operation in Istanbul

Nose aesthetics is one of the most complex and challenging operations among all cosmetic surgery operations because the anatomy of the nose is more complex and small compared to other parts of the face and body. Compared to other aesthetic operations, the rate of revision in nose esthetics is quite high. Even in the hands of an expert surgeon, disorders of the external shape of the nose or difficulty in breathing may occur after the procedure.

The nose is a focal point that forms the middle symmetry of the face and therefore attracts attention. When people communicate, they focus most carefully and most often on the facial area. The nose, which is the focal point of the face, which is the basic area of communication, is remarkable both in our own image and in the communication relations established when we look in the mirror. In terms of moderate symmetry and focus, the nose can often cause aesthetic concerns, physical complaints and functional problems.

Causes of "revision" nose aesthetic operations

Even millimetric errors during surgery can cause aesthetic deformations and functional problems. If the surgeon removes more or less tissue than is required, a second surgical procedure may be necessary. Revision rhinoplasty operations may be more complex and difficult than the initial nasal surgery. In nose revision surgery, the surgeon's experience becomes even more important, requiring more experience, knowledge and skills.

In fact, revision nose surgery is a procedure that progresses in more difficult conditions both for the patient and the doctor and should be performed more meticulously. The surgeon needs to comfort the patient, perform meticulous evaluations and provide the necessary information in detail, and ensure that the problems are successfully resolved with revision surgery.

Which Patients Are Suitable For Revision Nose Aesthetics?

Revision nose aesthetics can benefit from people who had previous nose aesthetic surgery and are not satisfied with aesthetic appearance or health due to incorrect application. Patients often complain that the nose does not fit their faces, do not feel as if they are their own, or suffer from various health problems.

Revision Rhinoplasty Operation in Istanbul

Even if the operation is successful, there may be problems in the recovery process. The nasal structure consists largely of cartilage, so there is no blood flow to the area for feeding. In some cases, the nose cannot heal as expected, as this blood flow is absent. In such cases, patients may experience nasal trauma or infection following their initial rhinoplasty. Cartilage problems may cause an image that is incompatible with facial features.

Various problems may occur in patients due to newly formed nose shape or respiratory distress. In some cases, the patient may be dissatisfied with the newly formed nose shape and may require major changes to be made. At this point, the effect of nose aesthetics being a personalized aesthetic operation is in question. Aesthetic nose surgeries are personalized applications that can be achieved to the extent of patient satisfaction.

When Revision Nose Surgery Be Performed?

We can talk about the healing mechanism as a valid condition for all tissues in our body. A period of time has to pass before the healing of the body tissues that have undergone surgical intervention and return to their old healthy structures. This situation emerges as a necessity of the healing mechanism.

After aesthetic nose surgeries, certain amounts of damage inevitably occur in the related tissues and a certain period of time is required for the healing mechanism to be healed. During this transformation and recovery process, revision should not be applied.

Revision Rhinoplasty Operation in Istanbul

After aesthetic nasal surgery, it is necessary to pass at least 9 months and even 1 year after the first surgery in order for the tissues exposed to surgical intervention to return to their original softness and healthy structure. After the first surgical intervention, the tissue is transformed within a period of approximately one year. No revision intervention should be performed in this transformation process.

Before The Revision Nose Aesthetics

In revision nose aesthetics, one's expectations should be realistic and talk to his doctor about his worries. The nasal aesthetic surgeon may, but not always, request the patient's previous medical records.

What Does Revision Nose Aesthetic Process Include?

The purpose of revision rhinoplasty operations is to solve the problem by applying revision no matter how big the aesthetic or functional problem. It deals with nasal collapse and other problems and changes the basic skeleton of the nose once again. This may lead to more complications and longer recovery time.

In revision nose aesthetics, intranasal cartilages are often used and relocated to reshape the nose. Care is taken to preserve the respiratory function of the nose while reshaping the nasal bone and cartilage. The procedure is usually performed under general anesthesia.

"Cartilage Deficiency" in Revision Rhinoplasty Operation

The aim of the rhinoplasty is to reshape the nose frame to improve aesthetic and functional problems. However, in some cases, there is insufficient cartilage tissue to reshape. In these cases, the cartilage is usually removed from the rib and shaped for re-use in the nose. There is no room for error in the operation, so it is very important to have it done by experienced rhinoplasty specialists for the nose for a balanced fit to the facial contours.

The stem cell method is used to solve problems such as fat injection from the patient's own fat, nasal collapse or lack of adipose tissue. Enriched with stem cells, this oil is used as a filler and provides the patient with lifelong comfort.

Which Method is Preferred in Revision Nose Aesthetics?

The necessary changes in revision nasal esthetics can be done by “closed” or “open” methods. If there are major structural changes, open nose aesthetics will be preferred. Small corrections are usually done with closed technique. Closed rhinoplasty requires only incisions on the inner wall of the nose to reach the nasal skeleton, no scarring on the outer nasal skin. In open rhinoplasty, an incision is made between the nostrils and the skin of the nose is lifted up. It allows the surgeon to intervene directly in the nose skeleton. However, the healing time is longer than the closed technique because it requires incision. The decision to use a closed or open technique in revision rhinoplasties depends on the condition of the case and the preference of the surgeon and both techniques have their advantages and disadvantages.

How "The Revision Rhinoplasty" Be Performed?

The nasal problem may be over-taken or lost tissues, or asymmetry and respiratory distress.

After the first surgical intervention, problems caused by tissues lost or excessively taken from the nose can be treated by removing bone and cartilage from various parts of the body for repair. The skeleton of the nose has a structure consisting of cartilage and bone, so the main skeleton needs to be supported with a solid tissue. In simple cases, deficiencies can be removed by cartilage tissue from the ear region. In severe cases, rib cartilage, and in some cases rib cartilage and bone can be used for repair. The temporal muscle fascia from the scalp can also be added to this process.

Asymmetries formed after aesthetic nose surgeries, the nose skeleton can be opened again and necessary shaping can be done, low nose tips can be carried up to determine the ideal location.

In aesthetic nasal surgeries with respiratory problems, the respiratory distress that is already present is often overlooked and manifested after rhinoplasty. Revision nose surgeries can treat the respiratory problems in the nose.

Operation Technique

Depending on the condition of the previous nose operations and nose structure, I prefer to use open technique.

The cartilage, bone and soft tissue forming the nasal structure are reshaped. Low or excessive height at the tip of the nose, asymmetry, protruding area or missing area of ​​the nose, curvature of the nose, nose tip, nostrils are corrected to provide an ideal appearance.

About Revision Rhinoplasty Operation
Pollybeak Deformity
Revision nose job Turkey

If cartilage is required during correction, the first choice is intranasal cartilage. If these cartilages are used or insufficient in the first surgery, cartilage grafts are required. In this case, the second choice is the ear, the third choice is the cartilage rib. (Note: Cartilage removal from the ear does not disrupt the shape and hearing function of the ear, there is no suture scar because it is removed from the back of the ear.)

Deviated septum deviation and turbinate hypertrophy affecting nasal breathing are intervened and corrected during the operation.

After giving a new aesthetic shape to the nose, special bands are applied to the outside of the nose and silicone splint is placed on it for 7-10 days.

Revision Rhinoplasty Operation With Temporal Muscle Fascia

After the first surgical intervention, problems caused by lost or over-removed tissues in the nose can be treated by removing bone and cartilage for repairs from various parts of the body. The nose skeleton has a structure consisting of cartilage and bone, so the main skeleton needs to be supported with a solid tissue. In simple cases, deficiencies can be removed with cartilage tissue taken from the ear region. In advanced cases, rib cartilage, and in some cases, rib cartilage and bone can be used for repair. Temporalis fascia from the scalp can also be added to this procedure. In the video above, during the revision rhinoplasty operation, the nose dorsum augmentation using the temporal muscle fascia shows the nose shape before and after the operation. The fascia used here is also used because of both the volume increase and the camouflage effect.

In revision nasal aesthetic surgeries, the membrane (fascia) of the temporal muscle in the temples with natural camouflage and filling material under the skin can be taken as grafts, especially in patients with irregularities in the back of the nose or loss of tissue and with very thin skin features. After this procedure, it may be necessary to apply a printed bandage on the patient for approximately 5 days.

After Revision Rhinoplasty Operation

The operation time of revision nasal esthetics is longer than the first operation. However, patients are usually discharged on the day of surgery unless there are any complications. It is possible to experience bruises and swelling around the eyes after revision rhinoplasty. However, these bruises disappear within 3-4 days, edema decreases day by day. Patients can return to work within approximately 10 days.

The final results of the revision surgery are observed within 6 months. Therefore, patients should be patient during this time and wait for a better final appearance.

Video description: We have performed a revision noses urgery to my patient from Spain. His first rhinoplasty operation was performed 3 year ago at Spain and nasal obstruction was started due to collapse in the nose wings. We performed revision rhinoplasty operation and nasal valve surgery with a limited amount of shape changes. We did the shortening of the distance between the tip of the nose and the face and the lifting of the nose tip at the same time.

Secondary, Tertiary, Fourth or Fifth Revision Rhinoplasty Operations

The term secondary rhinoplasty is used to describe all of the secondary surgical procedures for the previously operated nose. To put it more clearly, it is the name given to the operation to be performed for patients who are not satisfied with the operation performed by another physician. If a second operation is performed by the same surgeon whenever necessary, despite any care and effort, this is called a "revision" operation. These surgeries are not as comprehensive as the first operation, and a correction is made according to the problem that arises. Sometimes a problem can be encountered with a small filing. If the first surgery was performed by another surgeon, the correction surgery is called 'secondary', and if the patient has been operated twice before, it is called 'tertiary' surgery. Various problems can be encountered here. The scope of the surgery also changes in proportion to the size of the problem. It should be understood why the patient is dissatisfied and his expectations. Likewise, how the nose could be better and the risks should be revealed. Risks may increase as the number of operations increases. Profit-loss balance should be established very well.

Why is it Necessary to Name a Different Name for the Second and Third Nose Surgery?

Because secondary attempts to the nose require more experience and some difficulties are encountered.

• Adhesions related to the previous surgery occur in the operation area and it becomes difficult to reveal the structures to be corrected.

• As the nose skin was opened before, the skin became thinner. It may indicate millimetric errors in the bone or cartilage below.

• In the previous attempt, the nose may have been heavily removed from bone or cartilage.

• The mucous membrane (intra-nasal skin) and perforation due to cartilage damage may have occurred in the midline cartilage in the nose.

• Since the previous surgery was performed by another physician, the patients who performed the first surgery to the patient cannot be fully known.

• The operation time is longer.

In secondary rhinoplasty surgeries, it may be necessary to bring cartilage or fascia (muscular membrane) from another area of ​​the body in order to provide the old support to the nose.

In my personal experience, I may need to take these types of grafts in almost 90% of secondary rhinoplasty surgeries. Usually in the previous surgery, cartilage or bone in the nose is removed, so there is a collapse in certain parts of the nose. These collapses can occur not only after uncontrolled plastic surgeries, but also in cases where this cartilage is removed in the curvatures of the cartilage in the midline of the nose.

In these surgeries, I first say that my patients will be able to get ear or rib cartilage according to the situation in the surgery.

Tertiary Revision Rhinoplasty Operation in Istanbul

In secondary rhinoplasty operations, plaster splint and then bandage application procedures can be applied. If there is a serious intervention in the nose, it may be necessary to place silicone tampons. Apart from this situation, it is not necessary to apply tampons frequently.

Tertiary Revision Rhinoplasty With Rib Cartilage

Tertiary Revision Rhinoplasty With Rib Cartilage

Tertiary Revision Rhinoplasty With Rib Cartilage

Tertiary Revision Rhinoplasty With Rib Cartilage

You can find details about "Rhinoplasty in Istanbul" and before and after photos at >> Rhinoplasty in Istanbul / Revision Rhinoplasty in Istanbul

Source links >> Avoiding revision rhinoplasty / An anatomic basis for revision rhinoplasty

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
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47

Sunday, August 25, 2019

What is IVF? What are the success rates?

In vitro fertilization is a method of conception frequently used by couples who cannot have children naturally.
For the treatment, sperm from the mam and oocyte from the woman are taken and fertilized in the external environment.
This process, which is expected to occur in the uterus under normal conditions, cannot occur due to some anomalies and pregnancy cannot occur.
Embryos created after artificial insemination performed in special incubation centers within the IVF laboratory are selected and placed in the mother's womb.

For the in vitro fertilization method, which increases the chances of having couples with little or no chance of pregnancy,
oocyte are taken to the expectant mothers ovary by anesthetizing. This process is called oocyte collection process.
On the same day, the sperm cells from the man are fertilized with oocyte cells and are transferred into the uterus after fertilization in 3-5 days.
IVF transfer is a painless operation.

Success Rates in IVF

Although it is a highly successful pregnancy method, unfortunately negative results can be obtained in some couples.
The aim of the IVF is to increase the chance of couples who want to be parents. Therefore,
the factors that increase the chance of in vitro fertilization are the key points of this treatment for us:

The reasons for infertility should be determined well before treatment. Knowing the problem will always bring us closer to a solution.
Using advanced methods such as vaccination, ERA test, Embryoscope, Microinjection will increase the success of the results.

Menstruation after IVF

Menstrual bleeding after IVF transfer, which is associated with the failure of IVF treatment,
is a type of vaginal bleeding called luteal phase bleeding that can be seen before pregnancy test. This hemorrhage, which can be seen in many patients,
usually occurs within 10 days of the first week following egg collection and can occur in about 7% to 42% of women receiving IVF.

Implant bleeding, also known as localization bleeding, is often feared in this stress-filled process in which the couples have a very tense waiting.
After embryo transfer, small bleedings such as brown discharge,
pink discharge often occur as implantation bleeding and this bleeding spontaneously disappears within 1-2 days.

This hemorrhage, which can be seen during the pregnancy test interval after embryo transfer,
is a bleeding that scares the prospective mothers and is thought to be among the symptoms of non-retention.
Although there is a relationship between the failure of the IVF and the bleeding after embryo transfer,
this does not always mean that the IVF does not retain and it is possible to talk about the possibility that the mother is still pregnant.

The number of patients who have bleeding after transfer and become pregnant is quite high. The first thing you should do in case of this bleeding,
which is thought to be menstrual bleeding after IVF, is strictly in despair and if you are taking medication for IVF (ovulation medication,
hormone medication and progesterone pill), you should strictly follow your physician's recommendations.

How Many Days After Transfer Pregnancy test must be done?

Ovarian stimulant drugs used for IVF treatment are hormone-containing drugs.
Drug treatment to increase the number of eggs released from the ovary during the menstrual cycle allows multiple eggs to be obtained,
which means an increase in the success rate of in vitro fertilization.

Since the hormone balance in the body changes, the menstrual delay after IVF is quite normal and the menstrual order will return to the usual balance over time.
However, if the IVF does not hold, the menstrual delay can last for 1-2 months.
The reasons for menstrual irregularity or menstrual delay are due to both medications and the intense stress experienced by the expectant mother.

In vitro fertilization test is performed 12 days after embryo transfer. This period is determined according to the women's menstrual calendar.
In other words, the period of pregnancy test after transfer is also the expected period for a woman to have her period.

However, if the pregnancy test is negative after IVF and you do not have menstruation,
you should wait for 2 weeks and consult your doctor if your period has not yet started. Many problems such as uterine infection,
ovarian infection or cyst formation are among the causes of menstrual delay and such problems can only be detected by detailed physician control.

How Long Does a Menstrual Delay After a Negative Result in an IVF?

Unfortunately, failure of the IVF is one of the problems we face.
Negative pregnancy test in in vitro fertilization is a process of great frustration for couples, especially the expectant mother.
When the medication administered to the expectant mother changes the routine hormone balance severely,
the recovery of the body is a certain process and this process is also accompanied by psychological conditions such as depression,
stress and anxiety. Coexistence of all these causes causes of menstrual delay after IVF and the first menstrual period can be seen after 1-2 months.

After In vitro fertilization, menstrual delay is a common condition. However, in some cases, post-IVF period may be due to pregnancy.
Therefore, at least 12 days should be waited for pregnancy test after embryo transfer.

It is also very common for the pregnancy test to be negative 12 days before the transfer.
The reason for this is that even if the pregnancy has occurred, the possibility of the IVF coming out of the blood or urine after transfer is very low.

When Does Risk End in IVF?

There is always a risk of miscarriage during pregnancy, and the first 8 weeks of pregnancy are the months when the highest risk of miscarriage.
The first reason of miscarriage in the first 3 months of pregnancy is the inability to hold the embryo in the uterus.

The risk of miscarriage in IVF is the same as that of normal pregnancy. In other words, the form of pregnancy does not affect the risk of miscarriage.
In all pregnancies, the risk of miscarriage decreases severely after 3 months and the risk occurrence in IVF coincides with the same months.

The fact that women who are pregnant by IVF method is under the control of doctors frequently since the beginning of the pregnancy
is the most important factor that reduces the risk of miscarriage and thus, even if there is bleeding during pregnancy,
the chance of saving the baby's life is much more. Thanks to early intervention, pregnancy can be continued without problems in many patients.

İsmet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
Adress: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul - TurkeyPhone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47

Thursday, August 8, 2019

Laparoscopic Gynecologic Surgery in Istanbul - Turkey

Laparoscopic operations: In parallel with the developing technology in recent years, new methods have emerged in gynecological operations. In endoscopic operation, organs are made visible by entering into the body with a pipe and necessary surgical procedure is performed. Endoscopy is generally used by many branches.

Since gynecological operations are usually performed into the abdomen, it is called “laparoscopic operation j. Gynecological laparoscopic operations are performed in ovarian cyst, uterine fibroids, ectopic pregnancy, gynecological tumors.

Laparoscopic Gynecologic Surgery

Laparoscopic Cyst Operation

Laparoscopy is frequently used in ovarian cyst operations. Laparoscopy is used especially in simple cysts, chocolate cysts and ovarian cyst of unknown origin.

Laparoscopic Uterus Operation

Uterine fibroids, formal abnormalities can be corrected by laparoscopic surgery. In some cases, the uterus and ovaries can be removed by complete laparoscopic surgery.

Laparoscopic Ectopic Pregnancy Surgery

Ectopic pregnancy is a condition in which the pregnancy is not in the uterus, but in tubes or on the ovarian cyst surface. Causes internal bleeding. Once diagnosed, surgery is required quickly. Laparoscopy (closed) surgery is an appropriate option.

Advantages of Laparoscopic Surgery

It is a more comfortable, less painful operation for the patient. When performed in experienced hands, the operation time is quite short, but it can be quite long compared to open operations. Rather than making a large surgical incision, a maximum of 3 or 4 holes are operated and healing is faster.

However, patient selection is very important for laparoscopic surgery. The procedure may not be suitable for all patients. The general condition of the patient, the characteristic of the gynecological problem and the degree of the disease are decisive factors.

what is estopic pregnancy
How to perform abortion
İsmet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
Adress: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul - TurkeyPhone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47

Tuesday, August 6, 2019

Where can I have an abortion in Istanbul - Turkey

Abortion Center in Turkey

There are many centers in Istanbul that do abortion.

Some physicians have an abortion in their private practice.

The abortion procedure performed in the office environment is usually performed with local anesthesia, that is, by injecting drugs into the cervix.

Local anesthesia may not completely relieve the pain, it prevents appropriate intervention in case of an emergency problem.

The abortion procedure performed with general anesthesia is safer, sleeping with an intravenous medication provides a maximum sleep of 5-10’min and an abortion procedure is performed.
Therefore, under general anesthesia, especially in hospital environment abortion is safer.
Nowadays, many abortions are usually performed in the hospital environment. In our practice, pregnant women can be examined by ultrosonografically in our private office then some drugs are applied vaginally to dilate and soften the cervix.

After 30-40 minutes, the abortion procedure is started under anesthesia in the hospital environment.

Where can I have an abortion in Istanbul

What is Vacuum Abortion?

Today, most of the abortion procedures are performed with vacuum.
The cervix is ​​softened and widened with medications, the appropriate millimetric tubes are inserted
into the uterus and the pregnancy material is drawn through the uterus with negative pressure.
The risk of fragmentation is very low. In some centers, abortion procedures are still in the form of scraping.
Scraping abortion increases the risk of remaining parts inside and consequently increases the risk of adhesion in the uterus.
Vacuum abortion is always more advantageous. The procedure is shorter and the risk of infection and intrauterın adhesions are less than scraping.

Bleeding After Abortion

Bleeding may occur at various degrees and times after abortion.
It is a common bleeding that lasts less than 1 week and 10 days after the procedure.
Apart from this, it is common to have 3-4 days of bleeding after menstrual pain after a 3-4-day bleeding-free period.
Both types of bleeding are normal. In rare cases, there may be no bleeding at all.
Bleeding of pregnancy abortions in excess of 10 weeks may persist for 3-4 weeks.

It may not be normal for the bleeding to be more painful and more painful after abortion.
Excessive bleeding and pain may occur if parts remain inside. One week after the abortion,
ultrasonography should be performed. Normal menstruation usually occurs within 3-6 weeks after abortion.
If you have not had normal menstruation after 6 weeks after the procedure, you should definitely talk to your doctor.
There is a risk of adhesion to the uterus, even if it is small after each abortion.

How to perform an abortion in İstanbul - Turkey

İsmet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
Adress: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul - TurkeyPhone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47

Friday, August 2, 2019

What is Ectopic Pregnancy? Treatment in istanbul Turkey

What is ectopic pregnancy? fertilized egg is located in a different place outside the uterus.
It is most commonly observed to be placed in tubes. The fertilized egg cannot reach the uterine cavity for various reasons and settles in an area outside the uterus.
In the early stages of pregnancy, pregnancy symptoms are experienced normally.
Therefore, menstrual delay, positive pregnancy test, nausea, breast tenderness symptoms may occur.
However, as the pregnancy begins to grow into the tubes, the tubes stretch. Therefore, tearing and bleeding may occur.
It is very important to treat this condition at an early stage.

Ectopic Pregnancy

What are the causes of ectopic pregnancy?

Mild obstructions in the tubes or factors limiting the ability of the tubes to move can lead to ectopic pregnancy.
In particular, previous infections pave the way for ectopic pregnancy. Infections cause tissue damage.
Depending on the number and severity of previous infections, adhesions may occur in the tubes.
If these adhesions completely block the tubes and prevent sperm passage, infertility may occur.
However, slight adhesions also occur in fertilization but can occur in tubes. Therefore, ectopic pregnancy may occur.
In addition, previous surgical operations may cause adhesion.
If the woman has a history of ectopic pregnancy, the risk may be higher.

What are the symptoms of ectopic pregnancy?

In the early stages of ectopic pregnancy, normal pregnancy symptoms are observed.
A woman's menstrual period is delayed and nausea may occur. Pregnancy test may be positive in urine.
In addition, pain and abnormal vaginal bleeding may occur in the lower abdomen. Because of such symptoms, a woman who is admitted to a doctor can be diagnosed.

In addition, if the ectopic pregnancy does not show signs of bleeding, fainting or pain, it can be diagnosed by pregnancy test.
If the blood or urine test shows that the woman is pregnant but there is no pregnancy sac on the ultrasound, it may be an ectopic pregnancy.
Then, vaginal ultrasound can detect the pregnancy product in the ovary region.

If there are no signs of bleeding, blood bhCG values ​​are checked. This can make the diagnosis.
If these values ​​are high but there is no pregnancy sac on transvaginal ultrasound, the suspicion increases.
In addition, early pregnancy, risk of miscarriage, acute appendicitis, pelvic inflammation should also be considered and diagnosed.

What are the symptoms of ectopic pregnancy

Ectopic Pregnancy Treatment

If ectopic pregnancy has caused tube rupture or internal bleeding, surgical intervention is the only effective treatment.
At this stage, it is aimed to clear the ectopic pregnancy by laparoscopic method or open surgery.
If the patient's condition is appropriate, the procedure can be performed by preserving the tubes.
However, it may be necessary to remove the tubes in various cases.

Causes and Solutions of Ectopic Pregnancy

If there is no rupture, but if the necessary conditions are present, close follow-up of the patient may be sufficient before applying surgery.
In part of ectopic pregnancies, the pregnancy product does not tear the tubes and does not grow enough to cause bleeding.
In this case, the voided pregnancy product can be absorbed by the body or removed from the body by bleeding.

In such cases, surgical procedures are not necessary. This eliminates the risk of complications related to the operation.
However, in various cases ultrasound can detect the pregnancy product in the tube. However,
if the baby does not have any heartbeat or signs of viability, surgical procedures are not necessary.
Treatment methods are decided according to the patient's condition.

What are rare forms of ectopic pregnancy?

Ectopic pregnancy usually settles in tubes. However, it may rarely be located outside the tubes.
In various cases, pregnancy in the tube results in miscarriage after a while. The pregnancy product then falls into the abdominal cavity.
He may not lose his vitality yet. Therefore, it can settle in the area where it falls. It can also occur in the ovaries and cervix outside the tubes.

In our clinic, best treatment of ectopic pregnancy is the laporoscopic way. Because of rapid recovery and less pain make popular the laporoskopic surgery.

İsmet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
Adress: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul - TurkeyPhone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47

Wednesday, July 31, 2019

How to perform an abortion in İstanbul - Turkey

How to perform an abortion in İstanbul - Turkey
Abortion is a process of pregnancy evacuation with the consent of the patient.
In cases where the person is more than 18 years of age, an abortion may be performed with his or her consent. However,
in case of marriage, the spouse's permission is also required. In cases under the age of 18, permission must be obtained from the necessary institutions or family.
The abortion procedure is kept confidential. Another people are not informed of this matter.

Abortion can only be administered until 10 weeks of gestation. Pregnancies older than this week cannot be released unless there is a medical justification.

In order to perform an abortion, the blood type must be known first.
If the Rn Negative blood type is involved, the blood type of the partner should also be learned for blood mismatch. In cases of blood mismatch,
a needle of anti-D should be administered within 72 hours of abortion.

Abortion stages
For abortion, the patient is taken to the gynecological examination table. The controls are then performed by ultrasonography.
If the bladder is full, the patient is requested to empty it. Then the clothes and clothes below the waist is removed and the patient lies on the
gynecological examination table. The most suitable position for this procedure is lithotomy. So, as the patient gets gynecological examination,
his legs are placed in special parts. Then the week and the size of the pregnancy are determined by ultrasound.
It is important to observe the gestational sac, otherwise ectopic pregnancy may be involved. For this reason, ultrasound controls are very important.

Abortion can be administered with general or local anesthesia. If local anesthesia is to be applied, medication is given to both sides of the cervix.
Thanks to this anesthesia; The cervix is ​​dilated with special spark plugs. In this way, the patient feels less pain. In the general anesthesia method,
a thin catheter is used to open the vascular access and the anesthetist gives the drug.
After the anesthesia procedure is completed, vaginal speculum is placed. Speculum can be observed through the cervix.
Then the vagina and cervix are cleaned with antiseptic solutions. Then the cervix; It is held with the help of a special tool.

In this way, the uterus becomes flat and the abortion process is easier. After flattening the uterus,
the cervix is ​​enlarged by means of spark plugs. Dilatation is the equivalent of this procedure in the medical literature.
After this process, plastic cannulas are applied to the cervix which is applied to a syringe that creates negative pressure called karmen syringe.
The uterine cavity is reached. By pressing the button of the injector, negative pressure is created and it can be moved back and forth. In this way,
the uterus is cleaned. The procedure continues until the uterus is completely cleaned.

How is abortion performed?
Vacuum aspiration curettage:
Abortion is applied by vacuum method today. The abortion process mentioned above is also described.
Pregnancy is evacuated from the uterus by means of a vacuum system by means of a plastic syringe and a thin plastic tubular cannula.
Nowadays, it is the safest and least risky method. With this system, abortions are completed in approximately 10 minutes.

Curette instruments used in the past were sharp instruments. The risk of perforation of the uterus and other side effects was higher.
With the tip of these curettes, the uterus was scraped and cleaned. Therefore, it is not a widely used method today.
The most important point in the abortion process; The process is carried out by expert hands in a reliable and hygienic environment.
Otherwise, side effects and risks of complications may increase.

Drug use and controls after abortion
After abortion, the patient needs to use some medications to reduce the risk of infection. One week later,
the patient is expected to come for a check-up. However, in case of excessive pain or excessive bleeding,
consult a doctor immediately. Shower can be taken after abortion. However, standing shower is recommended.
Bleeding may occur after abortion. Pads should be preferred for this purpose.

Following abortion, the following situations are considered urgent and you should immediately consult a specialist:

If the temperature rises above 38 degrees,
If there is non-stop and increased bleeding after abortion,
If malodorous discharge occurs after abortion,
If bleeding does not decrease for 5 days after abortion, consult a doctor.

Dr.Ismet YILDIRIM MD. Gynecologist and Obstetrician, Infertility
Private Office:
İncirli Cad. No:41, Kat:4 Bakırköy - ISTANBUL (Dilek Pastanesi Üstü)
Phone: +90 212 542 87 85
Mobile: +90 532 325 30 08
Fax: +90 212 542 74 47