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