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PLASTIC SURGERY
By presenting this site to you I tried to show
you the plastic surgery world and plastic
surgeons’ point of view. The one who is
performing his own profession knows his
profession’s needs and reflects it to his job.
Everything could seem different by those who are
out of this topic but people work in the same
type of job talks in different language even if
it is not a secret.
Medicine is not a profession which has secrets
and I tried to explain everything by obvious
expressions. If you need more information, you
can write me, send me a photo or contact me
personally.
Those that I write generally show my
applications and my approaches in this branch
but other doctors can make distinct approaches.
Remember that this is a branch of medicine which
there is no certain boundary between right and
wrong, but personal approach is important.
Op. Dr. Teoman Doğan
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THE EYELIDS (BLEPHAROPLASTY)
A very great change happened
in the way we approach to
eyelids. The surgeries that
are performed by years as
standard in the last 30
years are realized that they
are inadequate. It is now
discussed that to take fat
meringue out is unnecessary.
Our expectations exceed
beyond forming eyelids
without pouches and now we
prefer to evaluate he face
as a complete.
What is the ideal
treatment?
What is ideal is to consider
eyelids as a part of the
face. Those should be fixed
step by step.
1- First of all if
there is a hole below your
eyes this hole must be
filled. Standard lower
eyelid surgeries do not fix
this problem, even it may
increase. This hole can be
fixed by the fat that forms
the pouch to spread down and
lifting the cheeks up.
Thereby an uninterrupted,
flat surface must be formed
from the cheekbones to the
lower eyelids. This is a
certain rule to look like
young and lively.
2- If there is a
serious pendency at your
cheeks then it should
definitely be fixed. For
this use it is possible to
benefit from the endoscopic
techniques and lift the
cheeks or during the lower
eyelid operation to lift the
middle face.
3- For the upper
eyelid, the forehead must be
considered. If your forehead
and eyebrows collapsed on
your eyes first those should
be fixed, by temporal
lifting the eyebrows should
be put to the right place.
Later on if there is still
pendency on the upper eyelid
this should be treated.
Goosefoot is formed because
of the pendency in the
temporal area and by
temporal lifting it goes off
mostly.
At the both eyelids just to
take muscle and skin bulges
is sufficient after the
problems that I mentioned
above are fixed.
WHAT IS EXPECTED BEFORE
AND AFTER THE SURGERY
Although this is a small
surgery the eyelids tumefy
very easily. Hence, be
organized as you will not be
seen by people for 1 week.
This is not an aching
surgery. There is no need of
hospital stay. Your eyes
will be open after the
surgery. There will be just
small tapes on the eyelids.
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COMPLICATIONS
Infection is very
rare at eyelids. But
akanam can be a
complication which
is afraid of. A
little bleeding
underneath the
eyelid skin is very
normal. This is
appeared as
lividness in the eye
and it may be
encountered in
almost all the
eyelid surgeries.
But in the cases
that the pouches are
taken a bleeding in
the veins that feed
these fat might form
a pressure on the
vision nerves and it
may cause to seeing
problems and even
blindness. Even if
it is a very rare
complication it is
declared in the
literature.
The most scared and
the most frequent
complication is a
stretching on the
eyelids downwards.
This possibility
increases in the
patients that
undergo the surgery
for the second time.
The problem is
generally to take
the eye skin
overmuch and the
treatment is to put
the skin that is
missing back. For
this use it may be
necessary to take
skin from the upper
eyelids.
There is a risk of
harming the cornea
of the eyes in this
surgery. No matter
it sounds like it is
impossible it is
useful to think that
the surgery is
performed very close
to the eyes and by
very sharp gauges
and there is always
a risk even it is
small.
THE REPORT OF THE
SURGERY
Anesthesia: Local or
general
Where should the
surgery be performed:
In a hospital
operating room.
The duration of the
surgery: 1-3 hours
The duration of the
hospital stay: Can
be dismissed at the
same day.
Ache and pain after
the surgery: You can
have a little ache
for the first days.
Painkillers taken by
mouth are usually
sufficient.
Tumescence and
lividness: Between
3-7 days. Sometimes
high level.
Dressing for the
wound: The wound is
not dressed until
the sutures are
taken. Everything is
taken with the
sutures.
Sutures: At the 5th
day.
When can be back at
work: 3-7 days
Sports: After 2
weeks long joggings,
after 3 weeks
running can be
fulfilled but it is
needed to wait 4
weeks for severe
sports.
Last shape:
Generally, first
month the edema
continues. . But the
last shape comes up
after the 3rd month.
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