Ozge Ergun, MD - Aesthetic Surgery, Breast,Rhinoplasty ...

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FAQ

Frequently Asked Questions to Dr. Özge Ergün

Rhinoplasty Frequently Asked Questions
Is there any age limit for rhinoplasty?

Since the nose continues to grow until about 17-18 years of age, I recommend my patients to have rhinoplasty surgery after this age.

Is rhinoplasty a painful surgery?

Rhinoplasty is not considered a particularly painful surgery. The latest technology in medicine can easily prevent pain. In general, patients' feedback is that they experience only mild discomfort.

How long does rhinoplasty surgery take and what changes the duration of surgery?

The duration of rhinoplasty surgery varies according to the complexity of the procedure or the surgeon's efficiency and experience. Most rhinoplasty procedures take about 1-2 hours.

Is there bruising in rhinoplasty surgery?

In the majority of cases, most bruises disappear in about 6-7 days. Only a few patients with very light skin color and thinner skin may have excessive bruising. These cases usually heal in about 2-4 weeks in total.

Is there any preparation required before rhinoplasty surgery?

Consulting the patient, identifying existing problems and wishes is the key to a successful surgery. The desired result should definitely be in accordance with the patient's expectations so that the patient is satisfied with the new state of his nose.

How is it decided which technique to use in rhinoplasty surgery?

We usually decide on the method of surgery during consultation with the patient. In most of my cases I prefer the open method, which accounts for 70% of my rhinoplasty surgeries. 30% of the cases are closed rhinoplasty, because this is a better option for patients.

When do patients return to normal life after rhinoplasty surgery?

After rhinoplasty surgery, the barrel should stay on the nose for at least 6-7 days. After removing the barrel, I leave a transparent plaster for another 3-4 days. In total, after 10 days, there will be nothing left on the nose. Of course, there may be some swelling left when we remove the hernia, but we still see 80% of the surgical result at the end of the first month.

What is revision rhinoplasty surgery?

Revision rhinoplasty refers to a secondary surgery to correct a patient who has had a previous rhinoplasty. In general, 5-10% of cases are revision rhinoplasty. Revisions are most often related to unexpected behavior of the skin or cartilage. Revision rhinoplasty is usually more complex than primary rhinoplasty, so they are more challenging and rewarding procedures in facial plastic surgery. Choosing an experienced surgeon for revision rhinoplasty can help you.

What is nasal collapse after

In some cases, the tip of the patient's nose may remain bent downwards after the swelling due to the surgery subsides. As long as the surgery is performed properly, nasal collapse should not occur and we see this very rarely. It is mostly seen in closed rhinoplasty surgeries performed with old methods.

When can patients start doing sports after rhinoplasty surgery?

Patients are not allowed to exercise for at least 3 weeks after rhinoplasty. Contact sports should be avoided for at least 6-8 weeks after rhinoplasty surgery. The use of glasses should also be avoided for 6-8 weeks. The patient can then return to their normal routine.

What is the golden ratio in rhinoplasty?

Human facial features are based on the Phi and Golden Ratio proportions. There are many examples of the Phi and Golden Ratio proportions, also called the Divine Proportion or Golden Section, in the human face. The nose and mouth are both placed in the golden sections of the distance between the eyes and the lower part of the chin, but of course these proportions are different in men and women. This is what we care about during rhinoplasty and many other plastic surgeries.

What is cartilage transfer in rhinoplasty surgeries? In which cases do you use it?

The choice of method depends mostly on what the cartilage is needed for. Ear cartilage is thinner and softer than rib cartilage, so it is more likely to bend, and if it is needed for the tip of the nose, ear cartilage is much better. If you need to build the bridge of the nose, a rib graft would be the best choice, but ear cartilage will also suffice.

Breast Lift Frequently Asked Questions
In which cases are breast implant and breast lift operations performed?

Some patients may have insufficient breast tissue. In case of decreased gland and adipose tissue due to breastfeeding and in patients with sagging nipples, we need to apply silicone prosthesis for breast lift. For this reason, we try to achieve a certain volume by combining breast implant and breast lift procedures.

How many techniques are there for breast reduction surgery?

Although there are hundreds of techniques defined for this surgery, we can categorize 3 or 4 techniques according to the type of scar. These are the periareolar scar around the breast, the keyhole or lollipop scar that forms vertically around and under the breast, the inverted T-shaped anchor technique; we can use all these techniques for breast lift and breast reduction operations.

What is the minimum age for breast reduction surgery?

Breast reduction surgery can be performed by any woman over the age of 18. However, usually people who are slightly overweight and who have recently given birth have this procedure.

When is the final result achieved after breast reduction surgery?

We see the results of breast operations in 3 - 6 months. We advise patients to use a sports bra for the first 3 weeks and we see the final result in 3 - 6 months.

Does it make sense to have a breast reduction if I have never given birth?

We usually perform breast reduction surgeries in cases of back pain and low back pain. If the breasts are not saggy and the distance to the nipple is around 20-25 cm, the patient can have surgery without worrying about breastfeeding. However, if the aforementioned distance increases to 28 - 29 cm and the breasts are very saggy, it may affect breastfeeding abilities as the patient ages.

What are the differences or similarities between breast reduction and breast lift operations?

Meme dikleştirme, mastektomi veya meme küçültme arasında farklar vardır. Teknikler ve yara izleri benzerdir.

Meme dokusu alınmadan memenin dikleştirilmesi ile gerçekleştirilen mastektomi işlemi.

Meme dokusunun çıkarılması ve yeniden şekillendirilmesi ile yapılan meme küçültme işlemi.

How long does a breast reduction operation take?

Breast lift operations take approximately 2 hours. It is performed under general anesthesia. The patient is recommended to stay in the hospital overnight.

Vaser Liposuction Frequently Asked Questions
What is Vaser Liposuction?

Vaser Liposuction application is ultrasonic liposuction. It is a slightly different method than normal classical liposuction. Before this procedure, we apply a liquid to the operation area and after giving that liquid, the fat is broken down (emulsification) with ultrasonic liposuction. After this process is done, we remove the emulsified fat cells in that area in a suitable way, just like in classical liposuction.

What is the biggest advantage of Vaser liposuction compared to other surgeries?

Vaser liposuction breaks down the fat and removes it from the body. Apart from this, it provides a significant increase in heat to that area, tightening of the skin and a homogeneous distribution in the adipose tissue and accordingly, the adipose tissue is removed homogeneously. This causes much less fluctuation, which is the most common complication of normal liposuction surgery.

How many hours does Vaser liposuction surgery take?

There is not much difference between Vaser liposuction and classical liposuction in terms of duration. The surgery takes approximately the same amount of time. Although the duration varies depending on the body area and the area performed, the whole procedure is performed between half an hour and one and a half to two hours.

Can the amount of fat to be removed at one time be determined in Vaser liposuction?

This situation varies from person to person depending on each person's body weight. First of all, liposuction is not a weight loss operation, but from time to time I apply this procedure to patients who cannot lose weight. Ten percent of body weight is the limit value for us. We have had patients who have taken 13 to 15 liters so far, but I do not prefer this much. This is our upper limit for overweight patients, but I usually try to stay at a maximum of 6 to 8 kilos.

What are the criteria to define an ideal vaser liposuction patient?

I prefer it more in women because their skin quality is slightly lower due to estrogen. Vaser liposuction is my first choice especially for all patients between the ages of 30 and 50. Since we want skin tightening, I prefer Vaser Liposuction especially in the back area, gynecomastia area and leg area

What awaits the patient after Vaser liposuction surgery?

The postoperative period varies from person to person. I tell this to all my patients and the same goes for the conversations I have with my patients after surgery. Some people have a very high pain threshold and some of these patients return to their normal life after the first or second day. For some, the maximum time is five days and after five days the patient returns to normal life. Of course there are some things that need to be done.

After the procedure, the patient leaves the operating room with a corset. He has to use this corset for three weeks. In patients who only undergo liposuction, we recommend the patient to take a shower on the third day. From the third day onwards, the patient starts showering as standard. If a combined treatment has been applied, if surgery has been performed on another part of the patient's body and there is an incision, I extend this process up to five days.

Is there a possibility of scarring after Vaser liposuction surgery?

The entry points we use in liposuction are very small holes, about 2 - 3 millimeters thick. After the surgery, we place a suture in these holes and these threads are then removed by the body on its own. These scars are slightly visible in the first two months, but after six to eight months they are almost invisible.

Is there a possibility of getting fat again after liposuction?

In women and men, fat storage occurs in specific areas. For example, men have fat around the waist, which we call the bagel area, and in the gynecomastia area (breast area). When liposuction is performed, we remove more white fat cells from these areas and there is a slight decrease in fat storage areas.

As long as the patient does not gain 5 to 6 kilograms more than their preoperative weight, there will be significantly less pooling in the same areas. However, if the patient gains more than 5 to 6 kilograms, pooling starts to occur in the same areas. For this reason, the patient needs to be careful, take care of his/her new life and follow a diet for years after Liposuction.

When is the result of Vaser liposuction achieved?

We see the results of Vaser liposuction between 3 and 6 months. Especially in the first month, the patient's complaints such as edema, swelling and bruising disappear significantly and we see a result of 70% - 80%. It takes 3 to 6 months to see the real results.

What is the physical and social recovery process after Vaser liposuction surgery?

If we call physical recovery as return to normal life, the patient can return to normal life within 5 - 7 days. There may be minor aches and pains in certain areas, but this varies from person to person. Many patients can return to work within a week or ten days. Of course, he/she needs to wear a corset for 3 weeks. She can complete this process by taking a shower in the evening and wearing her corset again.

Is it possible today to use the fat removed from female patients with liposuction in different areas?

Fat injections in liposuction is a very new application. In the past, fat injections started to be made in much smaller amounts, especially in the face area. Later, fat injections were started to be made in the breast, butt and leg areas. Of course, these amounts were increased over time by increasing the vitality of the fat. Currently, we perform fat injections in the face, breast and buttocks very frequently. This not only provides body shaping, but also provides advantages in many ways, such as lifting the hips of patients with low hips.

Six Pack in men after Vaser liposuction

The six-pack procedure is a bit more technical and takes longer to perform than regular liposuction. Because it requires more effort to shape and rebuild the muscles. In doing so, it is absolutely necessary to use Vaser liposuction.

This is because Vaser ultrasonic liposuction does not damage the skin. Therefore, we can get as close to the skin as possible. Since we approach the skin and do not damage it, we provide as much thinness as possible in the skin and subcutaneous tissue. We perform the six pack procedure by thinning certain areas and leaving and shaping the fat tissues where the muscles are located. Translated with DeepL.com (free version)

What is the length of stay in Istanbul for patients coming from abroad for Vaser liposuction surgery?

If only Liposuction will be performed, 5 - 6 days will be sufficient; if combined surgeries will be performed, we expect this period to increase to 7 - 10 days.

Brazilian Butt Lift Frequently Asked Questions
Can you give information about buttock augmentation with fat?

Butt lift surgery with fat or the procedure we call Brazilian Butt Lift (BBL) has been performed very frequently recently. In addition to implant applications, fat injections are also performed to shape the butt area.

In fat injection, we actually kill two birds with one stone. By performing liposuction, the patient gets rid of the fat in the abdominal area around the waist and then these fats are injected into the butt area to shape the butt area. Translated with DeepL.com (free version)

How many cc of fat can be applied in buttock augmentation surgery with fat injection?

Depending on the fat taken, fat injection can be made up to approximately 1000 cc. on each side. This application has only this handicap. 40 or 50% of the applied fat is absorbed by the body within 2-3 months and 40-50% remains. For this reason, injecting a little more fat into that area with the application we call overcorrection is more beneficial in terms of results.

Can buttock augmentation surgery be performed on everyone?

This operation can be performed appropriately for buttock shaping in patients with sufficient fat tissue.

How is fat injected into which area during buttock augmentation surgery?

After the fat is prepared, it is usually placed on the upper part of the butt area to create a lifting effect and subcutaneous tissues are generally preferred.

Apart from buttock lifting, is there a demand for buttock augmentation to the sides? Patients usually want a more feminine and rounder butt shape. To create this, a certain amount of fat needs to be injected into both the upper parts of the buttocks and the lateral areas.

What is the healing process for buttock augmentation surgery?

Patients should use a corset as in standard liposuction. It is especially useful to use a corset that leaves the areas where we inject fat exposed. Recovery takes about 7 - 10 days. After 7-10 days, the patient continues his/her normal life. However, it takes about 3 to 6 months to see the results.

After hip augmentation surgery, the patient can sit, stand, bend, etc.


We do not want the patient to sit on their buttocks for the first 7 days. That is why we use specially produced pillows. The patient is allowed to sit on these pillows, especially with the back of the thigh area on the pillow. We usually recommend the patient to lie face down for the first 7 to 10 days.

What is the duration of sexual abstinence for buttock augmentation surgery?

Patients should not have sexual intercourse for about 15 days for a better recovery.

Are there any cases that require regional lifting in addition to fat injection in buttock augmentation surgery?

We do not prefer fat injection if lifting is to be performed. In lifting procedures, we remove skin tissue and replace certain muscles, thus creating a lifting effect. However, we do not prefer to perform both lifting and fat injection together because it is a bit risky.

Can buttock augmentation and tummy tuck surgery be performed together?

Hasta çok motive ise yapılabilir, ancak genellikle bunu önermiyoruz. Çünkü karın germe operasyonu sırasında hastanın sırt üstü yatması ve özel bir pozisyonda yatması gerekir. Kalçaya yağ enjeksiyonu işlemleri sırasında hastanın yüz üstü yatması önerilir.

İki işlem birlikte yapıldığında hasta sırt üstü yatmak zorunda kalıyor ve bu nedenle yağlar o bölgede istenmeyen şekillerde kalabiliyor ve ileride bazı sorunlar yaşayabiliyoruz.

Is it possible to have a buttock augmentation operation again to increase the volume in the following years?

Of course, this process is carried out very frequently. After the fat injection, the second, third and fourth sessions can be done after 1 - 2 - 3 years. This has no harm to the patient's health. However, in fat injections, especially considering some risks (to minimize the risk of enbolism), it is useful to administer various blood thinners to the patient.

Is it possible for all injected fat to melt after buttock augmentation surgery?

There is no such thing. Since we use the patient's own fat tissue, a “vascularization” vascularization occurs in that area over time and approximately 50% of the applied fat remains in that area.

What kind of procedures do you recommend for patients who do not have enough fat tissue for buttock augmentation surgery?

If there is not enough fat tissue, we can recommend a butt implant. We make an incision of about 4 - 5 cm in the area we call gluteal sulcus and place prostheses specially produced for this job in the gaps we create between the muscles, and this application can also be performed instead of adipose tissue.

Will there be permanent scarring after buttock augmentation surgery?

There are no scars after fat injection and these scars disappear immediately as we make incisions of approximately 1 - 2 mm. Since we hide the scar in the gluteal sulcus in buttock prosthesis, it is very rarely visible.

What kind of cannulas are used during fat injection in buttock augmentation surgery?

Cannulas used for fat injection should be large cannulas. Studies have shown that small cannulas are more likely to damage or enter the veins and therefore large cannulas of about 3.5 - 4 mm should be used. Recent studies have shown that it is appropriate to use thick cannulas.

What is the length of stay in Istanbul for patients coming from abroad for hip augmentation surgery?

For hip replacement, this period varies between 7 and 10 days. For fat injections, it is enough to stay in Istanbul for 5 to 7 days.

Tummy Tuck Frequently Asked Questions
What is tummy tuck surgery?

Abdominoplasti doğum sonrası veya çok kilo vermiş kişilerde özellikle karın bölgesinde deri fazlalığı olan hastalarda tercih ettiğimiz bir işlemdir. Karın germe ameliyatının temel özelliği; göbek deliğinin değiştirilmesi ve göbek deliği altındaki deri dokusunun çıkarılması işlemidir.

Bunu yaparken hastalara genellikle diastasis recti dediğimiz rektus kaslarının birbirinden ayrıldığı durumlar eşlik eder. Bu hastalarda plikasyon prosedürünü uyguluyoruz. Diastazis rektinin olduğu bölgede rektus kaslarını bir korse gibi üst üste getirerek yatay düzlemde bir incelme sağlıyoruz ve fazla deriyi çıkararak düz bir karın derisi elde ediyoruz.

What is the process after tummy tuck surgery?

Abdominoplasty is a procedure that takes about 2 hours. After the procedure, patients wake up wearing a corset. We also apply a system called a drain to the patients, through which we draw out the fluid collected in the operation area.

The drain stays for about 3-4 days and then we remove the patient's drains. The patient bathes and dresses on the 4th or 5th day. The dressing is changed and we repeat these dressing changes every 2 days.

After 10 days the dressings are removed, the patient showers every day and gradually returns to normal life. During the first 7 days we usually recommend that patients do not walk in a straight position, but instead bend slightly forward.

We apply a corset, just like we do with liposuction, and we recommend that the patient wear this corset for 3 weeks. Unlike classical abdominoplasty, nowadays we definitely add liposuction to this procedure. With liposuction, we thin the remaining skin as much as possible.

How long does the pain last after abdominoplasty?

Patients usually do not experience pain after surgery. This is because very strong, long-lasting local anesthetics are applied to the area before the patient wakes up. These are effective for about 18 to 20 hours. The next day, we give strong painkillers intravenously to help the patient through this process.

After the second day, the pain is much less as a standard, and after the third or fourth day, depending on the individual, the patient gradually returns to normal life.

How long does the final recovery after tummy tuck surgery take?

The healing process takes about 2 or 3 weeks. But we need to wait between 3 to 6 months to see the patient's actual result.

Will there be permanent scars after tummy tuck surgery? How long does it take for these scars to heal?

The biggest handicap of this surgery compared to liposuction or other surgeries is the scarring. This scar is about 15 centimeters longer than that of patients with a previous caesarean section, but the peculiarity of the scar is that the patient can hide it. This scar can be hidden very easily because it is usually in the underwear. The aim is to maximize the patient's satisfaction with the outcome of the operation by keeping the scar as short as possible.

What are the characteristics ideal people should have for tummy tuck surgery?

First of all, such complaints are more common in women who have given birth. We recommend tummy tuck surgery especially in patients with excess skin in the belly area that cannot be removed with liposuction.

Can you give information about the health and fitness status of someone who will undergo tummy tuck surgery?

Generally, the patients we perform abdominoplasty on are women who have given birth and are approximately 35 - 55 - 60 years old. It is important that these patients do not have a serious disease and we recommend that their blood pressure be regulated and if they have diabetes, we recommend that it be regulated. Apart from that, the blood table should be suitable for this operation. We recommend that the patient pay attention to their position and be a little more careful in the postoperative period.

Is it possible for the patient's abdomen to be completely flat after abdominoplasty?

This depends on the patient's previous condition. If the thickness of the adipose tissue is below a certain thickness, it is possible to have a very smooth, ideal abdomen according to the patient's expectations, since we perform liposuction in this area.

How is scar length determined in tummy tuck surgery?

This scar depends on the condition of the excess skin. If the excess skin does not extend too far to the sides, the scar is kept as short as possible. The main aim of the planning is to keep the length of the skin incision as short as possible.

Can tummy tuck surgery be performed to remove excess skin in people who have had gastritis slave surgery?

We perform some of the tummy tuck surgeries in such patients. Of course, if necessary, in addition to abdominoplasty in such patients, we also perform a circumferential excision from the back area, which we call belt lift, and in this way, we free the patient from excess skin.

Is it possible for the patient to achieve a 360-degree fit appearance after the belt lift?

When we remove excess skin on all sides in the procedures we call Post Bariatric Surgery, we can achieve a flat appearance and a thin waist structure both on the back and abdomen.

Gynecomastia Frequently Asked Questions
Is the problem of gynecomastia genetic or is it directly proportional to weight gain?

Gynecomastia is a very common disorder in boys during puberty, affecting almost 40%-50% of men. It usually resolves with the passing of puberty, but in some people, especially overweight men, the problem persists.

Is gynecomastia surgery a painful surgery?

If the patient does not have too much excess skin, we usually recommend liposuction. There is a misconception that breast tissue (gynecomastia glant tissue) cannot be removed with liposuction. However, we can now easily remove the glant tissue there with vaser liposuction. In this way, if there is not too much excess skin, we can solve the gynecomastia problem only with liposuction without making any incision.

How many types of gynecomastia surgery are there?

We can usually perform gynecomastia surgery excisionally and only with liposuction. Liposuction alone is sufficient in patients who do not have excess skin.

How long does gynecomastia surgery last?

Gynecomastia patients usually feel a lot of discomfort during the summer months. Therefore, patients can easily get rid of this problem with a minor surgery (about 30 minutes).

How should nutrition be after gynecomastia?

As after standard liposuction surgery, the patient needs to be careful. A protein-based diet is also beneficial. We recommend that the patient does not gain too much weight.

What should be considered after gynecomastia surgery?

After gynecomastia surgery, the patient should use a corset. We recommend a corset in the shape of a wrestler's leotard and this corset should be used for at least 3 weeks. After the 3rd day, the patient takes a shower every day and wears the corset again.

What type of anesthesia is used in gynecomastia surgery?

Local anesthesia and sedation can be applied. The operation time is very short and can only be performed under general anesthesia.

What is the length of stay in Istanbul for patients coming from abroad for gynecomastia surgery?

Staying here for four to five days after surgery is sufficient for control.

When are the full results seen after gynecomastia surgery?

In gynecomastia surgery, just like liposuction surgery, it takes 3 to 6 months to see the results of the surgery. Especially in the operation area, there is a significant edema for the first 10 days and then the tissues gradually recover during the healing process.

Face Lift Frequently
How many techniques are there in facelift surgery?

Various techniques are used in facelift procedures. In classical facelift surgeries, an incision is made in front of and behind the ear and stretching is performed in both the face and neck area.

Apart from this, there is a short scar facelift technique called (macs lift). The difference of this technique from the classical facelift is that the incision in front of the ear ends at the point we call the earlobe and does not extend behind the ear. In this method, liposuction applied to the chin area provides significant freedom and the same effects as a facelift can be achieved.

How many hours does a facelift operation take?

Classic facelift operations take a little longer. This period lasts approximately 5 - 6 hours. Because in the classical facelift operation, the lower and upper eyelid, facelift, neck lift, removal of the structure we call smas, exposure of the nerve and stretching of this fascia structure to certain areas are performed. Since this nerve needs to be exposed, the dissection needs to be done more carefully and therefore the operation time is longer. This is a classic facelift.

In the Macs lift procedure, the skin is separated from this structure by staying on the layer we call smas and plication and shrinkage are performed on the structure called smas with suturing methods and similar effects are obtained in this way. The classic facelift procedure takes approximately 5-6 hours. However, the short scar facelift method we call (macs lift) can be completed in approximately 2-2.5 hours.

What is the ideal age range for facelift surgery?

Although it varies from patient to patient, this method can be used in patients between the ages of 40 and 45, especially in patients over 45. In some patients, sagging, skin laxity and skin laxity are much higher. In these patients, this procedure can be performed at an early age, and in some patients, this procedure can be performed after the age of 55 to 60.

Since this surgery is a procedure that we apply to patients in the highest age group, the general condition of the patient must be suitable for this surgery. Since we do not want a long operation, we generally prefer the short scar facelift procedure we call (macs lift) in certain cases.

What is the achievable reduced age target for facelift surgeries?

The important thing is that aging can be reversed. With aging, various handicaps occur, such as the loss of fluid in the cells and the consequent decrease in their volume, increased wrinkles, and especially the downward descent of the mid-face due to the effect of gravity. The aim is to reverse these effects. The effect of gravity causes the facial structures to descend downwards with a vertical effect. Our goal here is to return these structures to their original position.

Although a rejuvenation process is performed in classical facelift, the vector we apply is usually in the direction we call oblique. However, the vectors we use in the short scar facelift method in the procedures we call (macs lift) are completely vertical vectors and therefore provide a rejuvenation in the opposite direction to the effect of gravity. As a result, results that are not obvious that a facelift has been performed can be achieved very easily.

When is the final result achieved after facelift surgery?

The face is an area that heals very quickly. All dressings are removed about 5 to 6 days after surgery. Early healing is complete, but it takes 2 to 3 months to see the actual result.

What is the length of stay in Istanbul for patients coming from abroad for facelift surgery?
We especially recommend that the patient stay in Istanbul for 5 to 7 days.