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
Website: http://www.drismetyildirim.com/
E-Mail: dr.ismetyildirim@hotmail.com

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
Website: http://www.drismetyildirim.com/
E-Mail: dr.ismetyildirim@hotmail.com


Tuesday, August 6, 2019

Where can I have an abortion in Istanbul - Turkey

Where can I have an abortion? 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
Website: http://www.drismetyildirim.com/
E-Mail: dr.ismetyildirim@hotmail.com

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.


https://www.drismetyildirim.com/dis-gebelik-nedir

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
Website: http://www.drismetyildirim.com/
E-Mail: dr.ismetyildirim@hotmail.com




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
Website: http://www.drismetyildirim.com/
E-Mail: dr.ismetyildirim@hotmail.com


Things To Do After Tonsillectomy Operation

Drugs to be used after tonsillectomy and nutrition

Things To Do After Tonsillectomy Operation

After the tonsillectomy operation, any food and water is not taken orally during the first 4 hours after surgery to pass the effect of anesthetic drugs. Postoperative first-time ice-cream, cold kneading or cold milk dessert ingestion can help reduce the pain in the operation area.

The most important factor that improves recovery after tonsillectomy is the frequent intake of water or watery food from the mouth.

After tonsillectomy, ear pain that starts especially from the 3rd day, increases at night and can continue until the 10th day.

In the first week after surgery, white healing tissues appear in the region where the tonsils are removed. Families can mistaken this situation for inflammation.

Pain may gradually increase in patients refusing oral food and water intake after tonsillectomy. Although intravenous serum supplementation is beneficial, the easiest way to accelerate healing is by oral water.

Tonsillectomy in Istanbul
I recommend that patients who need to recover quickly and who want to start their normal daily work at the earliest period, drink water at frequent intervals, chew gum during the day and consume warm meat broth, chicken broth soup and dairy products with high protein content.

In some foreign sources, it is emphasized that operating cold steam engines at night can reduce throat drying and pain that may occur in the throat area.

Many of the patients who have undergone surgery with thermal welding have stated that the postoperative pain is very low and the post-operative period is shorter than other techniques.

Drugs to be used after tonsillectomy

Tonsillectomy in Istanbul

Routine antibiotic use after tonsillectomy is not recommended. It is highly recommended to use throat spray and mouthwash with antiseptic in children under 6 years of age. Painkillers are routinely recommended in children. Syrups containing paracetamol, which have no effect on bleeding and clotting, are particularly suitable for children. Nasal sprays containing ocean water may be recommended for patients who have undergone nasal surgery. Mouthwash and sprays containing antiseptic and painkillers may be recommended after tonsillectomy in adult patients.

Pain and postoperative healing rate after tonsil surgery is one of the main factors that determine the patient's continuous contact with water or watery food at the surgical site, and no loss of fluid in the body. However, in Thermal Welding Technique, there is less postoperative pain and bleeding risk due to heat damage and tissue damage to muscle tissue outside the tonsils.

Don't forget to drink water!

Don't forget to drink water!

After the tonsillectomy operation, a very effective factor in healing is the patient's drinking water.

Although there are various discussions about the intervals and how much water should be drunk; it is useful to keep the throat area moist and to maintain body water ratio.

After tonsil surgery, in addition to water, juicy foods (soup, non-acidic fruit juices ...) are also useful.

In empty spaces where no water or any aqueous food is consumed, chewing gum may be useful for cleaning the surgical site by increasing saliva production.

I prefer to emphasize the importance of drinking water to my patients, "as your throat aches, for frequent intervals."

Similar link >> Is Painless and Bloodless Tonsillectomy Operation Possible? / Some Practical Suggestions to Speed ​​Up Healing After Tonsillectomy

Click here for more information >> Tonsillectomy in Istanbul

Source links >>

- Patient Comments: Tonsillectomy - Describe Your Experience
- Fact Sheet: Tonsils and Adenoids PostOp
- Post Op Tonsillectomy and Adenoidectomy - ENT Specialists
- Tonsillectomy and Adenoidectomy - UHSM

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, July 1, 2019

What Is A Droopy Nose Tip and How Is It Treated?

What is a sagging (drooping) nose tip? How to make drooping nose aesthetics?

Nose Tip Plasty in Men in Istanbul


Drooping nasal tip is very common in our country. The tip of the nose hangs towards the upper lip. Nose appears long on the face. Sagging becomes more pronounced, especially with laughter.

Drooping nasal tip is very common


Drooping nasal tip (or nasal tip ptosis) is very common in Turkish society. The tip of the nose hangs towards the upper lip. The nose appears long on the face. Sagging becomes more pronounced, especially with laughter. The angle of the face with the upper lip should normally be 90-100. This angle is below 90 in the drooping nose. Saggy nose makes you look older than you are. As a result of correcting the problem, a younger appearance is achieved.

Nose tip aesthetics can be performed with closed and open techniques. Sometimes simple nose-type lifting is performed; nasal end surgery, including nasal tip shaping, is sometimes required. In other words, there is no trace of the outside of the nose. General anesthesia is not needed if there is no need to intervene on the nose back during the nose tip lifting operation which is usually performed with local anesthesia.

The cartilages in the nose are shaped with light stitches. Nasal tip support is reconstructed with the help of grafts from cartilages obtained from nasal septum. If there is not enough cartilage for the desired result, nasal tip enlargement can be performed with cartilage grafts taken from the rib or auricle. This process is called inoculation. Thin nasal skin thinning can be applied safely by interfering with the soft tissue.

Nose is one of the limbs that reveal the beauty of the face in the most clear way. For this reason, you will have a successful aesthetic operation and the difference in appearance will be quite high level. One of the most troubled areas in our country is low nasal tip. The low nasal tip will cause the face to have a very different appearance and even a tired look.


You should know that poor quality of breathing may occur due to sagging


After completing your selection of experts on this subject, you will be checked whether your health is suitable for the operation. After this step, you can pass the operation as you wish and you can eliminate the problems that will arise in the process of breathing. By adapting to the recommendations of your specialist, you can learn more about what you need to pay attention to before the operation so that you can complete the resting phase more easily.

Recovery process after nose tip aesthetics


The healing process of nasal aesthetics varies between 3 weeks and one month. There may be differences regarding the extent to which individuals comply with the advice given by doctors. If you comply with the given rules and pass the necessary checks, you can achieve a rapid improvement in the process. You should not neglect to go to the doctor's checks in this process. By having the necessary controls, a perfect operation result can be achieved.

Dressing is very important in the aesthetics of the nose. Dressing may be completed in accordance with the recommendations of the specialist. How you should be in an environment will be determined by your specialist. Usually after the nasal tip aesthetic swelling only in the tip of the nasal area and the face does not appear bruising. It is generally known that bruises and swellings increase in very hot environments.

If you comply with these recommendations, you can get through the nose reduction operation without any swelling on your body. Age factor also affects recovery intensely. As the age gets older, it becomes very difficult for people to heal. Therefore, it is recommended that women and men over 60 years of age do not undergo aesthetic surgery.

You can find details about "rhinoplasty and nose tip plasty in İstanbul" and before and after photos at >> Rhinoplasty in Istanbul / Nose Tip Plasty in Men / Nose Tip Plasty in Istanbul

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




How To Fix Failed Nose Surgery?

How to fix aesthetic nose surgery which resulted in failure?

Revision rhinoplasty - Failed nose surgery - Secondary nose job in Istanbul

No matter how experienced the surgery is, the result may not be exactly as desired after each nasal surgery and correction may be necessary with a new operation. This is 10% or less in experienced surgeons.

The patient seen in the photo above, underwent revision nasal aesthetic operation using rib cartilage. After nasal surgery 8 years ago, it was found that the nasal tip had sagging down and nasal obstruction, and most of the intranasal cartilages were excised during the operation and cartilage tissue did not remain in the nose for adequate grafting. Therefore, rib cartilage was used.

Since the result after nasal aesthetics is not as desired, performing a new nasal surgery is called nasal revision surgery or secondary rhinoplasty / secondary nose job.

Nasal revision surgery can sometimes be a simple procedure such as a small correction of blistering and the problem can be solved easily by an outpatient operation with local anesthesia without sleep.

However, in some cases, the nose may have a distorted appearance that negatively affects social life and may require a more extensive operation than the first for correction.

Some of the post-aesthetic nasal irregularities may develop due to reasons such as cartilage melting or spontaneous bending over time. The same applies to nasal cartilages, just as age can exhibit spontaneous and unpredictable bends while drying a tree branch. Although cartilage curvatures can be corrected completely on the operating table, they can be spun again after months. As the experience of the physician increases, the prediction of how much cartilage can change in the future increases and the unwanted effects of late bending can be prevented to a great extent.

Revision nose surgery can be performed for aesthetic and functional reasons


Revision nasal surgery can be performed because of aesthetic problems or functional insufficient results. Particularly in noses with severe cartilage and bone deformities, it is not easy or sometimes impossible to achieve a full millimeter result with only one nose operation.


The patient who was seen in the video above underwent revision nasal esthetic operation for the treatment of pollybeak deformity.

Nasal cartilage and bones have important tasks. One of them is to keep the dome up and make sure the nostrils are open. If we compare the nose to an umbrella, the fabric is made up of the nasal skin, the bones and cartilages that hold the umbrella tense, and the handle that holds the umbrella in the air, and the middle pole of the umbrella (called the septum in medicine). The most important reason why the postoperative image is not as desired is the wrong procedures applied on the bones and cartilages. Removing the bones and cartilages from the wrong places with the aim of shrinking the nose may cause the nasal roof to collapse. The pitting of the back of the nose to look like a saddle is called saddle nose deformity in medical language.

Nasal tip cartilages can be thinned to make the tip of the nose look thin. However, this has a limit, and when this is exceeded, a nasal tip appears to be squeezed with a finger. This is called medicine pinched nose or pinched nose doformity.

The symmetry of the nose after the rhinoplasty operation


The symmetry of the nose, ie the right and left halves appear to be the same, is aesthetically important. If the cartilage and bones are not taken in a balanced manner during surgery, then the differences that we call asymmetry emerge. Cartilaginous parts are more depressed than the other half. This results in an oblique and curved image of the nose.

In a natural nose, whether bony or curved, bone and cartilages are in a harmonious transition. Nearly the tip of a normal nose is made of cartilage and half of the forehead is made of bone. If you try to move your nose left and right, you will see that only the front half plays and the back half is fixed. However, you cannot normally understand the boundary between the bone part and the cartilage part. Because this transition is very soft and uncertain due to the connections between bone cartilage. This soft transition may be lost when the bone and cartilage connections are separated during aesthetic nose surgery. A very typical inverse letter V appears on the nose back after a period of surgery. This is due to the sharp transition line formed by the separation of the connections between the bone and the more extreme cartilages.

In some noses, the postoperative image is not liked because the preoperative image does not change much due to insufficient bone and cartilage removal. For example, it is undesirable to have a hump-like protrusion on the back of the nose. Noses with a flat back are more attractive. If the hump on the back of the nose is not sufficiently removed, it is natural that dissatisfaction occurs after surgery. Excess excision of cartilage and bones is how much error; more graft application is that much error.

Failing resulting in aesthetic nose surgeries is not always caused by a surgical error (doctor's fault)!


The question immediately comes to mind: When the doctor looks at the nose after reshaping the bones and cartilages on the operating table, can't he see the shape he will take? The answer is amazing. No, he can't. Because during the nose surgery the tissues swell and the shape that appears on the operating table does not fully represent the shape that will appear after healing. It is common to understand that a nasal ridge, which is thought to have been adequately lowered on the operating table, then remains high or vice versa. That is one of the reasons that makes nose surgery difficult. Experienced cosmetic surgeons can predict how their operations will change shape after the nose is healed and do not change their plans by being fooled into the image on the operating table.

Secondary (secondary) nose surgery is another building block used in ready-to-sell human cartilage. These cartilages prepared from dead people are taken from the ribs, disinfected and sold in special packages for a long time (several years) at room temperature. These cartilages, which are also present in our country, are harmless, even if they do not belong to the person, and can remain in place where they are placed for a long time (without melting). Over time it is very easy to replace new ones even if they are melted. Some patients prefer dead human cartilage, which is less risky and easier to use than their own ribs.

Nasal surgeries (secondary rhinoplasties) performed for the purpose of revision. This operations should be performed at least 6 months - one year after the first operation. After a nose surgery, deep wounds take a full recovery (what we call a scar-scar ripening). The time it takes for a wound to mature is at least one year and sometimes up to two years. That's why you wait.

A failed result after nasal surgery is not the end of everything. Sometimes a small procedure and sometimes a significant surgery can be improved. However, each surgery will cause damage to the nose and make subsequent operations more difficult than before. Therefore, if a significant deformity has occurred after the first nasal surgery, it is necessary to select the correcting physician very carefully because it will be more difficult if a subsequent operation is necessary.

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

Source link >> Revision Rhinoplasty | Facial Plastic and Reconstructive Surgery

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, June 23, 2019

Golden Ratio in Rhinoplasty Operation

Aesthetic nose surgery and golden proportions

Golden Ratio in Rhinoplasty Operation
Rhinoplasty Without Breaking Nasal Bone


Nose surgery brings the results of facial plastic surgery as it improves and improves the general facial appearance of people. It also allows the correction of problems such as deviation from the nasal structure of the person and healthy functioning of the nose.

The problems existing in the nose cannot be concealed by both makeup and other approaches. Therefore, aesthetic nose operations require a lot of care, experience and knowledge. At the same time, the nose should be both in itself and in harmony with the other structures of the face. A natural and beautiful nose that is in harmony with the face adds significant advantages to the person. This harmony occurs in aesthetic nasal surgeries by paying attention to golden rates.

Using of the golden ratio in rhinoplasty operation


The golden proportions have been used in art (painting, sculpture, etc.) and architecture throughout human history. The concept of beauty in general is relative. It may vary from person to person, from culture to culture, from society to society. Nevertheless, there is a concept of beauty that has been converged for centuries in common sense throughout the world. A nose that is not too big or too small, plump cheeks, tense-smooth forehead, eyebrows with a certain curve and not low, plump lips that are not exaggerated ... etc .

Using of the golden ratio in rhinoplasty operation
Rhinoplasty in Istanbul


The distance between the nose and both eyes, forehead and lip should be adjusted well. The width of the nose wings should not extend beyond the vertical lines passing through the inner edge of the two chambers.

Forehead-nose-chin should be proportionate. The jaw should not be small or large relative to the face. In the same way, the nose should not stay short or shorter than the face. Nasal base with chin, nose root-forehead on nose base, nasal root and scalp start line are divided into 3 equal parts in golden proportions.

The distance between the nose and the lip should be compatible. This part should not be seen very clearly.

The nose should be approximately the same parallel axis as the ear, viewed from the front and their lengths close to each other.
   
The nose tip angle (nose lift angle) should never be a single angle. A second angle should be made near the end of the nostrils. This prevents the holes from being seen from the front and gives a softer (female) expression to the face.
   
The nasal root angle (between the two eyebrows, the angle where the nose starts) should also be compatible with the eyes and forehead. This area should never be made too many cavities. This time, the eyes may seem very disjointed. On the contrary, it should not continue straight from the forehead.
   
The tip of the nose should be proportional to the rhombus principle. In this way, excessive pointed or extremely thick nose tip image is avoided. A natural tip of the nose is obtained.
 
The nostrils should not be seen from the side. It should be seen in a light oval shape. Nostrils, nose height and nasal tip should be planned within a certain ratio.
   
The back of the nose should be as straight as possible for men. It is more preferable to make a slight curve in women.
   
The width of the nasal ridge should be the same parallel to the nasal root. The root of the nose should not be narrow, the nose should not be wide.
   
It is ensured that the ideal results are achieved in the nose esthetics by complying with the golden ratios.

Considering the golden ratio and artistic harmony between nose, face and head


Taking into consideration the golden ratio and artistic harmony between nose, face and head, an ideal design and appearance is achieved in the aesthetics of the nose. The size, length, shortness or size of the nasal structure affects and determines the smallness of the surrounding structures. Consequently, in aesthetic nose surgery, nose, cheekbones, eyebrows, forehead and chin tip should be compatible with the structure. When designing the nose, the appearance of the nose should not only be evaluated from the profile or façade and the operational procedure should not be planned. From the top, bottom, diagonal angle, even when laughing and talking, the shape of the nose should be considered and designed. So the aesthetic design of the nose is hidden in the details. Well-designed and operated nose aesthetics, nose is not in the foreground. The eyes and lips are in the foreground, creating a more expressive, beautiful, effective and balanced facial expression.




The nose of your dream may hidden in the Golden Ratio!


The  is defined as a special ratio found in the structure and form of numerous living and inanimate beings in nature. This ratio, which has been used by the Egyptians and Greeks in architecture, has been applied for centuries in the works of architecture and art observed among the parts of a whole in nature and has been an important guide in aesthetics for years. Therefore the golden ratio is seen as the universal formula of facial beauty. If we need to give an example to the regions that can be calculated with the golden ratio in the whole body; Mouth-Nose width golden ratio, Face-Length width golden ratio, Nose width- Nose holes golden ratio, Lip-eyebrow junction between - Nose length golden ratio, Pupillary-inter-eyebrow gold ratio.

Known as the Fibonacci Numbers, the golden ratio known to have been used in the pyramid of the ancient Egypt during the Egyptian period and later in the paintings presented by Leonardo da Vinci in his work Divine Ratio and in many other objects and works to be counted.

The golden ratio is the name given to a constant number equal to 1,618, such as the number pi () in Math, corresponding to the number 3.14 and divided by the diameter of the circumference of a circle, and represented by the symbol Fi ().

Since the golden ratio formula is seen on all beings in nature, it is not difficult to reach 1,618. However, it is necessary to grasp this formula system and make a measurement on objects accordingly.

Determine your best nose shape with using the golden ratio!


The techniques developed based on the golden percentage are used today in facial aesthetics. The first one is the circular sector analysis developed by Baund. In this analysis, a half circle is drawn in front of the face with the line joining the trchion and tragus. This semicircle passes through the chin with the tip of the nose. Like this tragus in the ear; When trichion, nasion and menton are combined, an angle is formed between them, which gives a golden ratio when compared to each other.

“The width of the nose wings should not extend beyond the vertical lines passing through the inner edge of the two eyes. The nose should be approximately the same parallel axis as the ear, viewed from the front and their lengths close to each other. The nose tip angle should never be a single angle. A second angle should be made near the end of the nostrils. This prevents the holes from being seen from the front and gives an expression to softer women.

Rhinoplasty operation is very common procedure and contrary to general belief, is very complex!


Nose aesthetics is a very common procedure and, contrary to general belief, is very complex. Therefore, for a successful nasal aesthetic result, you should make sure that your doctor spends the time and resources necessary for you. A surgeon who has a good understanding of the anatomical structure of the nose and has an aesthetic understanding will evaluate the bone and cartilage structure of the nose, skin thickness before the surgery and realize a safe and effective treatment plan.

A nose that adapts to the facial features will add more beauty and self-confidence to the patient


We can find people with these worries about their noses avoiding photographs, being among the crowded groups of friends, posing side by side, and sitting side by side in the community. Although make-up or similar approaches try to hide the aesthetic concerns in the nose, it is not possible to eliminate them completely. For this reason, nasal aesthetic operations require a lot of care and experience. Operations should be compatible with all the structures in the face unless the patient demands excessive overhead, excessive curvature lines such as excessive curves should be avoided. A nose that adapts to the facial features will add more beauty and self-confidence to the patient than any other intervention in the body, especially on the face.

Similar links >> Frequently Asked Questions For Rhinoplasty in IstanbulPhotographic Analysis Before The Rhinoplasty

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

Source links >> Golden Ratio and Aesthetic SurgeryIdentification of Facial Shape by Applying Golden Ratio ...

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