Who does not aspire to a youthful, well-shaped body? For women this means a tight belly, small waist, round and firm buttocks, long and shapely legs and slim ankles. Men dream of an athletic body and a “six pack”. A well-contoured body is part hereditary, part healthy diet, moderate lifestyle and regular exercises. Only few of us muster the discipline it takes to achieve this. And no-one can escape the ravages of time, the effects of aging. Plastic surgery offers an alternative. However, a long-lasting result is still dependent on your lifestyle, on what you eat, and regular physical activity.
Once we are past 30, is becomes ever more difficult to reduce our excess fat with a nutritional regime and physical exercise; or we lose fat where we don’t want to. In women the fatty tissue in the face and breasts may decrease while the fat reserves on the hips remain intact. In these cases liposhaping is an effective solution.
During the procedure, fat is removed through liposuction where it is in excess and after purification re-injected where there is too little. The goal of the process is not weight decrease but redistribution of the fat tissue.
Liposhaping is a three-step process of liposuction, fat purification and fat injection. At first, the fat transfer areas (removal and re-injection) are determined. Liposuction is performed in a clinic under local anaesthesia. The patient is also given medication that prevents bleeding. The fat tissue is sucked out with under a low vacuum with the aid of cannula, collected in a sterile vessel, purified, concentrated and re-injected with very fine needles in the predetermined areas of the body.
The formation of fat tissue deposits is genetically determined. In women the main areas are hip, belly, thigh and neck; in men it is belly, waist, chest and neck. A typical deposit in men is the visceral abdominal fat.
The removed fat is injected where necessary. The most important areas of application are leg shaping and tightening, and breast augmentation
It is a body contouring method (e.g. “six pack” in men, the pubic area, abdomen, waist and back in women) which is most suitable for younger and sportive people with good skin elasticity and only little or no overweight
In this procedure, the fat tissue is loosened up with ultrasound to improve the suction efficiency. The ultrasound is applied through small tubes inserted through small incisions in the skin. A recently developed new technique, the so-called VASER system, is highly efficient.
It facilitates the dissolution of fatty tissue and thus greatly improves the suction process. That is a great advantage for fat deposits in the back and in male breasts (gynaecomastia). It also stimulates the skin to tighten. There is no definite proof, however, that, in the long term, vaser treatment yields better results than the classical liposuction practice. Disadvantages are longer operation times and a slight risk of burns.
It is a method of dissolving fatty tissue with the aid of laser beams which are applied through small cuts in the skin. Laser lipolysis improves the efficiency of liposuction. In the case of small fat deposits, laser lipolysis alone is sufficient to remove the fat, as the dissolved fatty tissue is readily absorbed by the body. The greatest advantage of this technique is rapid skin tightening. The method is particularly suitable for small fat deposits in the neck and thigh. However, it is not justified to speak of a superior method with respect to classical liposuction. And there is always a slight risk of burns.
Liposhaping is not suitable for very overweight people. The ideal candidate is about regular weight with small fat deposits. Patients may be requested to lose weight before the treatment. If the weight loss is not permanent or stable, sustainability of the result cannot be guaranteed. I ask my patients to attain their long-term weight optimum before I begin the treatment.
All areas of intervention are supported by a corset which must be worn for about 3 weeks. In the first week, you have to wear it permanently, in the following weeks you can take if off for a couple of hours every day.
That depends on the area of intervention. For a limited procedure, a local anaesthetic and sedation are sufficient. For more extensive interventions, general anaesthesia is necessary.
Three hours after the procedure, patients can eat and get up. After 6 hours they are usually discharged. Incisions are covered with a gauze bandage for the next 24 hours because fluids may seep out. After 2 days patients can take a bath. After 3 days patients return for a follow-up check, after which they can return to their normal activities. In the first 3 weeks, patients should refrain from any sports activities except walking. After 2 weeks, skin-tightening treatments are recommended (lymph drainage massage, radio waves, LPG). After 3 weeks they can take off the corset for good. Until then all swelling and bruising have disappeared. Full skin tightening is completed only after 3 months. The skin may be temporarily numb at the cannula insertion points.
If carried out by an expert and within reasonable limits, liposhaping is a very safe technique. The most serious complications are bleedings, pulmonary emboli, fat emboli and organ injuries. Fat embolism is very rare, however. Injuries to organs, on the other hand, are the most important cause of death associated with liposuction. This can happen in particular when the intestines or the liver are injured during interventions in the abdomen.
The most important problems, however, are aesthetic in nature. They include: loose skin, colour changes in the skin, shape changes. The most important cause for this are wrong application, fat removal beyond a reasonable limit and insufficient skin elasticity. Such mistakes can be corrected, but it is no easy task because it requires further fat tissue transfer between different areas of the body.
Since the fat cells in adults no longer divide, the result is permanent. Weight gain is still possible, however, not to the extent before the treatment.
If the patient again gains weight, the fat deposits will form in other places. If, e.g. the fatty tissue has been removed in the abdomen, new fat surpluses will be stored in the back, the arms and legs. Patients must be advised before the treatment that they need to maintain their weight permanently. This does not apply to small interventions, only to comprehensive liposhaping. The worst candidates for this procedure are people with extreme weight imbalances.
For many women past middle age, tightening of the abdominal region is high up on their wish list. To achieve a lasting effect, patients have to pay attention to their weight, exercise regularly and use skincare products.
Moderately overweight women with a loose abdominal wall and limited fat deposits in the abdomen and on the waist.
The first step is liposuction; it may be combined with liposhaping. It is followed by an incision three times the size of a Caesarean section, which is designed to be easily hidden in clothing. The skin is lifted up as high as the lower ribs, then the abdominal muscles are repaired and tightened, the navel is repositioned a bit higher up and the excess skin is excised.
If the skin is not too loose and the abdominal wall not too weak, the intervention is performed endoscopically through a small hole in the skin or through an old scar, e.g. a Caesarean incision.
Abdominal tightening can also be carried out in overweight people. The main purpose here is less to improve looks but to improve the quality of life.
The operation is performed in a hospital under general anaesthesia and takes 2-4 hours. Four hours after the intervention, patients can eat and get up. Contrary to widely held beliefs, an expertly performed surgery of this kind causes only little pain. Patients can usually be discharged the next day. After 2 days, they can take a bath, and after 1 week return to their daily routines. After endoscopic surgery, the recovery time is even shorter.
Abdominoplasty surgery, also known as Tummy Tuck, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.
A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.
Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:
Abdominoplasty is a surgical technique used to remove surplus fat in the abdomen and on the waist, to remove excess skin in the lower abdomen and to repair the abdominal muscles. Depending on the condition of the individual patient, a full, mini or endoscopic abdominoplasty is performed
The first step is Liposuction; it may be combined with Liposhaping. It is followed by an incision three times the size of a Caesarean section which is designed to be easily hidden in clothing. The skin is lifted up as high as the lower ribs, then the abdominal muscles are repaired and tightened, the navel is transplanted a bit higher up, and the excess skin is removed.
The first step is liposuction. It is followed by an incision just like in regular abdominoplasty, only shorter. The skin is lifted below the navel only and excess skin is removed. If a small section above the navel is to be tightened as well, the navel is set 1-2 cm higher. If necessary, the muscles in the abdominal wall are repaired.
Endoscopy is the method of choice if the skin in the abdomen is not too loose and the abdominal wall not too weak. Surgery is performed through a small incision (2 cm), preferably in old scar tissue (e.g. Caesarean section) to leave no new traces. This procedure is also preceded by suction of excess fat. In the endoscopic intervention, a tiny camera is inserted through the incision which is used to guide the surgical instruments. Endoscopic tightening does not involve the removal of skin.
Overweight is a surgery risk and has a negative impact on the healing process. We, therefore, recommend obese patients first to lose weight. If this is not possible due to their limited ability to move, surgical weight loss is an option.
Yes. However, childbirth puts new strain on the skin and abdominal muscles. Patients are, therefore, advised to coordinate pregnancy and abdominoplasty.
Compression stockings are put on to prevent embolies, a urinary catheter and surgical drains are placed to remove fluids. A corset is placed around the abdomen. Three hours after the procedure you can eat and get up. In the first 4-5 days after surgery, you should avoid walking upright in order not to strain the scar. In case a mini-abdominoplasty or an endoscopic intervention have been performed you can return much sooner to an upright position. Patients are usually discharged the next morning. The drains may stay in place for a little longer, if necessary. At night you can sleep on the side. You can take a shower 24 hours after drain removal. The sutures are placed under the skin and need not be removed. A week later you can return to your regular activities. After 3 weeks, physical activities are permitted; however, exercises involving movements of the abdomen should be avoided. After 6 six weeks, you are free to exercise as you please.
The most severe complication is pulmonary emboli. The risk increases with age, it is aggravated by overweight, diabetes and cigarette smoking. Heavily overweight patients are, therefore, advised to lose weight before surgery. Other problems are excessive skin removal due to wrongful planning, as well as insufficient bleeding control and difficult wound healing. Serum may accumulate under the skin (seroma) and need to be removed. If the skin is too tight, the scar may spread. However, scar spreading can be corrected a year later under local anaesthesia.
Mini tightening is an option for overweight persons whose skin is not elastic enough for liposuction alone, but still tight enough to avoid a full abdominoplasty. The advantages are a smaller scar and a faster healing process.
A procedure to remove excess fat in the abdomen and on the waist, and excess skin below the navel.
Women after childbirth, when too much fat has accumulated in the lower abdominal region.
Surgical drains are placed to remove fluids and a corset is placed around the abdomen. Three to four hours after the procedure you can eat and get up. Patients are usually discharged the same day. The drains may stay in place for a little longer, if necessary. At night you can sleep on the side. You can take a shower 24 hours after drain removal. The sutures are placed under the skin and need not be removed. After 2-3 days you can return to your regular activities. After 3 weeks physical activities are permitted; however, exercises involving movements of the abdomen should be avoided. After 6 six weeks, you are free to exercise as you please.
No severe complications are expected. The healing process may cause problems in smokers. If the skin is too tight, the scar may spread. However, scar spreading can be corrected a year later under local anaesthesia.
This method is suitable for small fat deposits in the abdomen and on the waist, but without excess skin, and for re-tightening of the abdominal wall after childbirth. The ideal candidate profile is: young, first pregnancy, almost no overweight, regular physical exercise.
A surgical intervention through a small incision in the skin. A tiny camera is inserted through the incision which is used to guide the surgical instruments. Endoscopic tightening does not involve the removal of skin.
The ideal candidate is young, not or only marginally overweight, engaged in sports on a regular basis, and has given birth for the first time.
Surgical drains are placed to remove fluids and a corset is placed around the abdomen. Three to four hours after the procedure you can eat and get up. Patients are usually discharged the same day. The drains may stay in place for a little longer, if necessary. At night you can sleep on the side. You can take a shower 24 hours after drain removal. The sutures are placed under the skin and need not be removed. After 2-3 days you can return to your regular activities. After 3 weeks physical activities are permitted; however, exercises involving movements of the abdomen should be avoided. After 6 six weeks, you are free to exercise as you please.
No severe complications are expected. In case of extensive liposuction, serum may accumulate under the skin which has to be removed with a cannula.
Abdomen and breast operations are different surgical interventions, however, abdomen, waist and breast form a single aesthetic unit. Surgery in one area may result in unaesthetic imbalances. The torso should therefore be contoured as a single unit. Corrections may become necessary in particular after childbirths; this is why torsoplasty is also often called “motherhood aesthetics”.
In particular women after childbirth when the torso is out of shape. It is also suitable for older patients who have lost shape after extreme weight gains and losses.
Overweight is a surgery risk and has a negative impact on the healing process. Patients should reduce their weight to a level they are able to maintain permanently.
The result of the holistic intervention is a new body shape. It tends to increase people’s confidence and to improve their attitude towards life. A combination surgery is also more cost-effective than individual operations.
The operation is performed in a hospital under general anaesthesia.
Compression stockings are put on to prevent embolies, a urinary catheter and surgical drains are placed to remove fluids. A corset is placed around the abdomen. Three hours after the procedure you can eat and get up. In the first 4-5 days after surgery, you should avoid walking upright in order not to strain the scar. In case a mini-abdominoplasty or an endoscopic intervention have been performed you can return much sooner to an upright position. Patients are usually discharged the next morning. The drains may stay in place for a little longer, if necessary. At night you can sleep on the side. You can take a shower 24 hours after drain removal. The sutures are placed under the skin and need not be removed. A week later you can return to your regular activities. After 3 weeks physical activities are permitted; however, exercises involving movements of the abdomen should be avoided. After 6 six weeks, you are free to exercise as you please.
The most severe complication is pulmonary emboli. The risk increases with age, it is aggravated by overweight, diabetes and cigarette smoking. Heavily overweight patients are, therefore, advised to lose weight before surgery. Other problems are excessive skin removal due to wrongful planning, as well as insufficient bleeding control and difficult wound healing. Serum may accumulate under the skin (seroma) and need to be removed. If the skin is too tight, the scar may spread. However, scar spreading can be corrected a year later under local anaesthesia.
Loose or even flabby upper arm skin is a depressing experience for many middle-aged women which restricts their clothing choice in particular in the summer. Physical activity, weight control and intensive skincare are no remedy for this age-related condition. In most cases, only an invasive arm lift can help.
An L-shaped incision is made on the inner side of the upper arm from the elbow to the arm pit and on to the side of the chest. Usually only excess skin is removed. The procedure may be combined with Liposuction to remove fat deposits.
The operation is performed in a clinic under general anaesthesia or under sedation.
Patients are usually discharged the same day. The first two days the scars are bandaged. After 2 days patients can take a bath. The sutures are placed under the skin and need not be removed. In the first 3 weeks patients should avoid extreme arm movements. After 3 weeks physical activities are permitted; however, extreme arm movements should be avoided. After 6 six weeks, you are free to exercise as you please.
The biggest issue are visible scars. Since they are placed on the inside they are not visible unless you raise your arms. After 6 months, the scars have faded to a large extent. However, they will never completely disappear. Patients must be made aware of this. Some patients disguise their scars with tattoos.
For many women the inside of the thighs turns into a problem zone when the skin there becomes loose and the thighs’ contours deteriorate. Massive weight gains and losses, no physical activity and advancing age aggravate the problem. The thighs may expand so far that they rub against each other during walking. The thin skin in this area makes surgical intervention difficult. However, there are several effective techniques to combat this problem.
In slim patients with little excess skin, a horizontal incision is made on the inside of the upper part of the thigh. In case of much excess skin and when fat deposits are present, the incision is vertical because there is an amount of downward pull on the scar, and a horizontal scar may cause a deformation of the vagina. The intervention begins with Liposuction. Since the incision is on the inside, it is not visible while you stand.
The operation is performed in a clinic under general anaesthesia.
Patients are usually discharged the same day. The first two days the scars are bandaged. After 2 days patients can take a bath. The sutures are placed under the skin and need not be removed. In the first 3 weeks patients should avoid extreme arm movements. After 3 weeks physical activities are permitted; however, extreme arm movements should be avoided. After 6 six weeks, you are free to exercise as you please.
A horizontal incision scar may spread and it may be accompanied by long-lasting swelling. If pull is exerted on the scar, it may affect the genital area. For this reason a vertical incision is recommended. Here the biggest issue are visible scars. Since they are placed on the inside, they are not visible while you stand. After 6 months, the scars have faded to a large extent. However, they will never completely disappear. Patients must be made aware of this. Some patients disguise their scars with tattoos.
Well-contoured hips and buttocks are generally recognised marks of beauty in a woman. Long and well-shaped legs that end in a firm, round butt are the dream of men and women alike. The picture is completed with a shapely small of the back, small waist and tight belly. Leg length and hip width are genetically determined and cannot be changed. However, defects can be corrected, the soft tissue can be shaped and the overall looks can be maintained and preserved.
Buttock augmentation involves various procedures that are combined according to individual requirements.
The operation is performed in a clinic under general anaesthesia. For HA injections, sedation is sufficient.
Patients are usually released the same day. After a belt lipectomy, they stay one day in hospital. After 2 days patients can take a bath. The sutures are placed under the skin and need not be removed. For the first 3 weeks patients have to wear a corset. Patients with gluteal implants are advised to sit down carefully. After 3 weeks physical activities are permitted; they should, however, not involve running. After 6 six weeks, you are free to exercise as you please.
Fat injections usually cause no serious complications. Some of the fat may, however, be absorbed by the body, resulting in a certain volume decrease. With belt lipectomy, the biggest problem is the circumferential scar. It is placed low enough to be hidden by clothing, and it fades over time, but never completely. In the past there was always the risk that the body encapsulates the implant causing visible deformations in the affected area. With modern techniques, the implants are placed under the muscle, which has greatly reduced this problem. Dermal fillers can cause an adverse reaction by the body; it is, after all, a foreign material. Patients are therefore advised to use branded products that are absorbed by the body over time.
Many women desire long and shapely legs. Besides genetic predisposition, this requires physical exercise, a healthy diet and regular skincare. If that does not help, surgical methods may offer an alternative. However, bones can neither be straightened nor elongated. The only possible way is more attractive contouring.
Various procedures exist. They are applied according to individual needs.
The operation is performed in a clinic under general anaesthesia or under sedation.
Patients are usually discharged the same day. They can take a bath after 2 days. After liposhaping, they have to wear a corset for 3 weeks. Liposhaping of the shanks and insertion of calf implants must be supported for 3 weeks by varices socks. Liposhaping can cause rather long-lasting swelling in the shank and ankles. Patients are advised to stand as little as possible in the first few weeks and put up their legs whenever possible. After 3 weeks physical activities are permitted; they should, however, not involve running. After 6 six weeks, you are free to exercise as you please. To achieve better contouring results, LPG, radio wave treatment and lymph drainage massage after the 2nd week are helpful.
The most serious, though very rare, complication during liposhaping is pulmonary emboli. To prevent any incident, we encourage patients to get up and move as soon as possible. Wrong application of liposuction can result in deformities like rippling and depressions in the skin. With implants, there is the risk of capsular contracture or slipping which may cause asymmetries, and the implant may become visible from the outside. Also, the incision on the back of the knee may remain visible. There is always a small risk that the body rejects the dermal filler. Patients are therefore advised to use branded products that are absorbed by the body over time.
Slim ankles are eye-catching attributes of a beautiful woman. Sturdy bone structure cannot be changed, but padded ankles can be sculpted into better shape.
The fat deposits in the shanks are identified and removed by Liposuction with the aid of a thin cannula. This step can be combined with Liposhaping of the calves.
The operation is performed in a clinic under general anaesthesia or under sedation.
Patients are usually discharged the same day. They can take a bath after 2 days. They have to wear varices socks for 3 weeks. Liposuction and liposhaping can cause rather long-lasting swelling in the shank and ankles. Patients are advised to stand as little as possible in the first few weeks, and put up their legs whenever possible. After 3 weeks physical activities are permitted; they should, however, not involve running. After 6 six weeks, you are free to exercise as you please. To achieve better contouring results, LPG, radio wave treatment and lymph drainage massage after the 2nd week are helpful.
The most serious, though very rare, complication during liposhaping is pulmonary emboli. To prevent any incident, we encourage patients to get up and move as soon as possible. Wrong application of liposuction can result in deformities like rippling and depressions in the skin. Long-lasting oedemata may concern some patients.
Our hands give away our age. With age, the subcutaneous tissue on the back of our hands becomes thinner, the veins shine through and age spots appear. Plastic surgery offers various methods to rejuvenate our hands.
The therapy comprises several stages or individual treatments:
The package comprises the following treatments: deep dermal fillers, microdermabrasion to remove blotches, two PRPs at an interval of one month and 4 HA injections at 2-week intervals. It is recommended to repeat the therapy once or twice a year.
Fat injections are performed in a clinical environment and under local anesthesia or sedation, all other procedures in the surgeon’s office. An anesthetic crème is used to numb the skin.
After fat injections, patients can go home the same day. Swelling and bruising may appear and last for a few days. The next day, the patient can take a bath. After dermal filler applications, PRP and HA injections, swelling and bruising may appear but they do not prevent patients from going about their daily routines. Microdermabrasion treatment can be associated with skin redness, and scale formation may occur. Plenty of moisturizing crème and good sun protection are absolutely necessary.
The fat injections and the fillers may prove insufficient. In that case, additional injections are necessary
Massive overweight (obesity) is meanwhile a global problem. Overweight people sometimes lose up to 60-70 kg in weight through a diet regime and/or surgical intervention. The skin’s elasticity is not sufficient to compensate such a huge loss of body mass – the result is a lot of loose excess skin. Several surgical methods are available to re-tighten the skin.
Often a single operation is not enough. The surgery sequence is determined in accordance with the patient’s priorities. The initial step is usually a belt lipectomy. This is followed three months later by an arm and thigh lift, and breast reduction/tightening, and may be combined with a back tightening. Face and neck are treated separately. The goal is to achieve a satisfactory appearance with a minimum of operations and without jeopardising the health of the patient.
The operation is performed in a clinic under general anesthesia.
Depending on the individual surgery, patients remain in hospital care for 1-3 days. They can get up 3-4 hours after the operation. After 2 days, the drains are removed. The sutures are placed under the skin and need not be removed. The first 3 weeks patients must wear a corset or a sports bra and should restrict their movement. After 3 weeks light physical activities are permitted. After 6 six weeks, you are free to exercise as you please.
The most serious complications in the immediate postoperative phase are bleedings and pulmonary emboli. There is a risk of pulmonary problems after 2-3 days. Medium term risks are a difficult scar healing process and fat necrosis. In the long term, scars and body shape-related issues may affect satisfaction. Body shaping after massive weight loss carries a high risk of complications. However, it is a very effective method to overcome the physical problems facing weight loss patients. The selection of a competent surgeon reduces the risk to a minimum.
Aesthetic and functional problems of the genitalia are very private matters but sometimes with far reaching consequences: psychological disorders and a difficult relation with the other sex. Plastic surgery offers a viable solution.
The intervention may comprise the following individual steps.
The operation is performed in a clinic under general anesthesia or under sedation. G-point injections can be given in the surgeon’s office.
The procedure is not particularly painful, and any pain can be easily treated with simple pain killers.
Patients are usually discharged the same day. They can take a bath after 2 days. After labiaplasty and vaginoplasty, the affected area must be washed with a special solution. Patients are also advised to sit down and get up carefully. They must refrain from sexual intercourse for 3 weeks. After 3 weeks physical activities are permitted; they should, however, not involve running. After 6 six weeks, you are free to exercise as you please.
Karahasan Sok. Dedebas Apt.
No.8 D.4 Balmumcu, Besiktas
Istanbul - Turkey
Phone : +90 532 4740407
gulcin@beauty-travel.org
www.beauty-travel.org
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