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Dental Implant
Teeth that remain embedded in the jawbone not getting in their normal position, although their natural eruption time has come, are named impacted teeth. Most commonly the wisdom teeth, followed by canine teeth, are often embedded in the jawbone. In some cases, the buried canine teeth are made to erupt in positions in which they should be by orthodontic treatment. However, in cases where this is not possible and / or when the impacted teeth damage other teeth or are a source of infection and pathology, the removal becomes necessary.
There is no rule that every wisdom tooth has to be removed surgically. The method, how the tooth is to be removed will be decided by the dentist depending on clinical and radiologic examination. It is not true that every wisdom tooth removal is difficult. The position, size and form of the tooth to be removed are factors that effect the decision how the tooth will be removed.
The implant is an artificial tooth root, mostly screw-shaped, placed in the jaw for the replacement of missing teeth. Since the jaw bone perceives titanium as a part of the body, implants are mostly made of titanium and the success rate is very high due to the high tissue compliance of the implants. The reason why it finds a broad usage in dentistry is that it can be used for the replacement of a single tooth as well as for patients having no teeth at all. This application is performed without any interference with neighboring teeth. The feeling of chewing being close to normal, and the possibility of treatment without interfering with other teeth have made implant-containing methods to one of the most applied treatment methods in our century.
People with dental incontinence have many functional and aesthetic problems. Effective chewing is not possible in the absence of teeth. Since tooth loss causes the closing to change, it may also cause problems in the jaw joint. In addition, because of the aesthetic problems that can occur and speech disorders, the self-confidence of the people can be affected.
Implants are an ideal choice for good oral health in people who have lost their teeth with periodontal disease, bruising, trauma or some other cause. In regions where teeth are missing, also structural problems with the jawbone occur. The application of the implant following tooth extraction significantly reduces this dissolution. It is a more conservative practice than traditional bridges because it does not receive support from neighboring teeth. If a movable prosthesis is not preferred when a jaw tooth is missing in the jaws (such as a crown or a bridge), or because the jawbone is completely fissured in the toothless mouths, or it is difficult to use the total prosthesis and to prevent the prosthesis from moving in the mouth, implants are applied.
People with good general health and good oral care, healthy gums and jawbones that are able to support implants in the jawbone show a high success rate in implant treatment. In some cases, the amount of bone is not sufficient for implant application. If the bone loss is high, implants can be placed by applying advanced techniques.
Individuals who received radiotherapy in the head and neck region
Young individuals who have not completed bone growth and development,
Since smoking suppresses wound healing in the mouth and reduces implant success, individuals with high cigarette consume are not eligible for an implant treatment.
Implants can be applied to individuals who have systemic diseases such as diabetes, high blood pressure, hemophilia and autoimmune disease, and who use bisphosphonates, corticosteroids or immunosuppressive drugs, after consulting their physician.
Implant application is usually performed in two steps. For a standard implant application that does not require further surgery, local anesthesia is performed in the area where the implant will be placed in the first stage and the gingiva is carefully removed. The bone is prepared for the implant in accordance with the predetermined bone thickness and height and the implant is placed. In the second step of the implant application, after having waited for a certain period of time for the implant get integrated, depending on the state of the bone and the applied jaw, the prosthetic treatment is started.
For the osteointegration of the implants after implantation, if no further applications have been made, depending on the age, bone quality and systemic condition of the patient, a period of bone healing ranging from 1 to 6 months is required. By the improvement of the surface properties of currently used implants, if the implant can be placed with sufficient force depending on the bone, temporary implant prostheses that do not function or, in some cases, function, can be made. There are many factors that determine the timing of the prosthesis application. Your dentist will determine the correct timing after detailed evaluation, considering your expectations.
For a painless intervention, the local anesthesia we use during tooth extraction is sufficient. Conscious sedation or general anesthesia may be required for some medical indications and sometimes on the patient’s request. Pain relief is enough to allow you to relax after the operation. Most of our patients talk about less pain than tooth extraction. You will not even feel the presence of implants in your mouth after your treatment is over.
As with any procedure and every surgical procedure, the implant surgery may also have minor risks. Your dentist will give you detailed information. It is a very safe treatment when everything is done right.
The implant is made of titanium or its alloys. It is not affected by mouth fluids and is designed to withstand the forces that will form in the mouth. Tissue-friendly properties of titanium coated with special materials has been increased and the healing period has been shortened.
Surveys on surface properties have shown that titanium is tissue-friendly. For this reason, titanium has been used in implant manufacturing for a long time. It is not the case that the implant is rejected by the body, that is, any tissue rejection occurs. However, infections that develop during the healing period and not paying attention to oral hygiene by the patients, factors such as excessive alcohol and cigarette consumption may prevent the implant from integrating with the bone. As a result, the implant may be lost. With regular dental checks and good oral hygiene you can extend the life of your implants.
The term Endodontics is derived from the Greek “Endo” (in) and “odont” (tooth). As it can be understood from this definition, endodontics is the science that intervenes and resolves the problems with the internal parts of the teeth. More precisely, endodontics is a branch of dentistry that deals with the diagnosis and treatment of diseases related to dental pulp (living tissue containing vascular-nerve packs) and tissues surrounding the teeth.
After graduating from the dentistry faculty, by completing 3 or 5 years of specialisation or after doctoral studies on endodontics, a dentist who has specialized in dental pain and related pulp and periapical tissue disorders and other endodontic treatment applications is called an endodontist.
General dentists graduated from the faculty of dentistry, as they have been trained theoretically and practically for root canal treatment, treat endodontic patients. However more complicated or more difficult cases are forwarded to endodontists.
The main purpose of the dentist is to maintain the continuity of the patient’s chewing function by keeping the teeth in the mouth. The parts of the teeth seen in the mouth are called the crown, and the parts of the teeth inside the jawbone are called the root. The crowns are surrounded by the gingiva. The teeth consist of hard and soft tissues. The hard tissues of the tooth are the enamel on the outer surface and the dentine tissue beneath it. The root part is covered with external cement and under it is the dentine again. This hard tissue complex consisting of enamel, cementum and dentine surrounds a cavity full of connective tissue that contains veins and nerves. This gap is called the pulp gap, and the connective tissue in it is called pulp. Pulpa is a tooth-bearing tissue responsible for the development, feeding and defense of the teeth.
The pulp can be inflamed for a variety of reasons or infected by the infiltration of microorganisms. In this case, the pulp tissue must be removed and the channel cavity must be cleaned, shaped and filled with tissue-friendly channel fillers. This whole procedure is defined as channel therapy.
Differential diagnosis and treatment of pulp and orofacial pain associated with the periapical tissue
Pulp disease prevention and vital pulp treatments
Root canal treatment
Root canal retreatment in endodontic failure
Treatment of traumatized teeth
Endodontic surgery applications
Bleaching of endodontically treated teeth
Post placement in the root canal to allow the restoration of the crown
Endodontic treatments for prosthetic, periodontal and orthodontic treatments
“Bacteria have a fundamental role in pulp diseases”. Bacteria are present in every person’s mouth and they do not cause any harm under normal conditions. But some metabolize food or drinks containing sugars to extract acid. These acids also damage enamel and dentine. When the bruises that are formed in this way are left untreated, the bacteria move to the pulp tissue under the dentin, causing inflammation.
Another cause of damage to the pulp is that the tooth is exposed to trauma. After a severe blow, the blood circulation can be interrupted and the pulp tissue loses its vitality over time. Chronic trauma to the tooth may also cause inflammation or loss of vitality of the pulp.
Another threat to the pulp is the presence of a long, untreated periodontal (gingival and peripheral) disease around the tooth. Bacteria can damage the tooth pulp from tiny side channels that open to the root surface through the gum pocket.
Deep bruises, bruises that recur under pre-existing fillings or crown prostheses (coatings)
After filling the teeth or making the crown, complaints of the patient are going on,
Root / stem fractures as a result of impact,
Damage to the dental pulp as a result of abnormal movements of the patient, such as chewing habits or tooth creaking,
Pulp damage after advanced gum disease or gingival operations,
Determining that the pulp has lost its vitality.
In the prosthetic restoration of caudal teeth, channel repair may be required.
During removal of large cysts in the jawbone or wisdom tooth extraction, root canal treatment may be needed to be performed on adjacent teeth.
Spontaneous pain in the teeth,
Pain increasing at night and not which can not be relieved even with painkillers,
Long-lasting pain that is triggered by an external factor such as cold, hot or dental contact,
Swelling around the tooth, gingiva and / or related lymph glands,
The result of the infection of the tooth is a fistula or dental coloration.
However, the teeth that lose their vitality may not cause any complaints. This situation should not be perceived as the lack of need for root canal treatment.
Root canal therapy lasts about 1 hour. The stages in this process are the following:
Anesthetization of teeth and surrounding tissues by regional anesthesia,
Isolation of the tooth from the surrounding tissues,
Preparation of endodontic cavity for entry into root canals,
Determination of the working length in the root canal,
Reshaping the root canal cavity,
Cleaning and disinfection of the root canal cavity,
Filling the root canals in a leakproof way.
In this procedure, at least 2 radiographies are performed. In some cases this number may increase. In cases where the tooth has lost its vitality, an antiseptic agent must be applied to the root canals after the tooth has been shaped and cleaned when the channel is being treated.
Root canal treatment does not cause pain. On the contrary, it relieves pain. Local anesthesia is applied to the dental and peripheral tissues to be treated. During treatment, the patient does not feel any pain. In some cases, however, the patient may feel uncomfortable. This problem is easily overcome by performing auxilary anesthesia.
In cases where the patient does not have a general health problem, the patient does not need to use antibiotics before root canal therapy. However, antibiotics may be required before treatment if the patient has a known heart disease, diabetes or is using immunosuppressive medication.
The root canal treatment of a tooth with a vital pulp is finished in one session. However, in cases where the dental vitality is lost, the infection is at the root and the channel treatment is repeated, two or more sessions may be required.
While the pulp is removed during the root canal treatment, no pain develops against external stimuli such as cold or hot. In the first few days following the treatment, it is normal to feel slight pain in cases of pressure on the tooth, especially during chewing, if there was a related dental pain or inflammation before treatment.
Root canal treatment is often completed in 1-2 sessions, depending to the problem. After the treatment, the patient feels discomfort in the first 2-3 days. The patient may use painkillers under the supervision of the dentist. In some cases, the patient may need antibiotics as treatment support. The patient may return to normal life after treatment. However the patient should not eat any food before the numbness has disappeared. In addition, chewing of hard foods should be avoided until the top restoration is complete. The patient can contact the dentist 7/24 by the telephone numbers given, in case of any problems.
After root canal treatment, the crown of the tooth must be permanently restored. Restoration of the hard tissue defect on the back and restoration of the tooth play a key role in the success of the root canal treatment. After a successful root canal treatment, a tooth restored with appropriate techniques can serve for many years or even for a lifetime. However, it should not be forgotten that the oral care of the patient must be sufficient.
After the patient’s treatment is over, he should consult the dentist at 6-month intervals, even if he has no complaints. Radiographic follow-ups regarding the related tooth/teeth.
No prosthesis is a substitute for a natural tooth. It is much less costly to restore the tooth by proper root canal treatment than extracting an inflamed tooth and replacing it with an implant or bridge prosthesis. Depending on the removal of the pulp tissue that provides the vitality of the tooth and the excessive loss of material, the treated tooth may become more susceptible to fracture. When a decision is made to make a filler or a crown for top restoration, attention should be paid to this situation. Endodontically treated teeth remain in the mouth for many years and help to maintain the aesthetics and the chewing function. With a good root canal treatment, a tooth can be used for a lifetime with proper mouth-tooth care. Regular oral and dental care and regular dental examination are necessary to prevent the risk of recurrence of the treated tooth and other problems that may arise in the future.
The success rate for well-constructed root canal treatments is around 90-95%. However, in cases where there is bacterial leaking back into the root canals, such as the formation of a new tooth decay due to the patient’s oral hygiene, or a fracture of the filling, the root canals may become infected again.
During the root canal treatment, following complications might occur – however very rare;
Breakage of tools in root canals
Flooding of the channel filler out of the root
Flooding of the canal wash solutions out of the root
The root canal treatment is a process that can be repeated. If the treatment fails the filling is removed, the root canals are reshaped, disinfected and filled considering the reasons for failure. Root canal retreatments are more complex procedures. Before treatment, the possibilities of illness are explained in detail. For the solution of the problems that can be encountered during treatment microscopes, magnifiers and specially manufactured instruments are used. However, in teeth that are so damaged that they can not be restored, alternative treatments may be considered in cases where the gingival and bone support is inadequate or the problem can not be solved.
Dental Implant
Orthodontic treatment is performed at every age, but different types of treatments are applied according to the characteristics of each age. In a baby with a newborn palate, orthodontic treatment may be needed. Orthodontic treatment can also be performed on a 60-year-old individual whose teeth are irregular due to a gingival recession. At ages when the milk teeth are still available, the treatment is usually performed with removable plaques. In all ages when permanent teeth are in the mouth, treatments are performed with fixed braces sticking to the teeth.
When you have orthodontic braces in your mouth you should take greater care of your teeth than ever before. It is easy to clean a flat tooth surface with a brush. However, a tooth surface with a brace attached to it forms indentations for bacteria to hold. It is much more difficult to get a normal brush into the area. For this reason, special brushes such as orthodontic brushes, interface brushes, single-bunch gingival brushes, as well as hard dental floss, mouth shower, fluoride-rich pste and mouth care waters which can be passed under the wire are used.
Our teeth are in motion for life. Therefore, even if the orthodontic treatment is very good, the teeth may deteriorate again in time. The first years after treatment are the most frequent times of relapse. In order to make the result of the treatment permanent, various measures should be taken and some rules should be followed for lifetime and an orthodontic check should be done every 6 months.
A thin wire is affixed to the back of the front teeth which are the most common deformed teeth. It is desirable to keep the brace in place for a lifetime if possible. As a second preservative, a plaque that is fastened to all the teeth is made.
In addition, wisdom teeth that do not have space in the mouth to erupt can push the lower front teeth while trying to erupt. For this reason, their extraction may be required.
In principle, the treatment time is the same with the transparent braces and the metal braces. However, transparent brackets are more fragile because they are made from porcelain. Breakage may depend on the use of the patient, or sometimes even the force applied by the doctor may cause the brace to break. The broken braces need to be replaced and sometimes thinly crossed and re-leveled, which may prolong the treatment, as it will cause time loss.
Porcelain braces are also harder than the enamel, so they cause damage when they touch the teeth on the opposite side. Therefore in patients with very tight closure no porcelain bracket is used on the mandibular teeth. In fact, most of the time, the porcelain is used at the front and metal is used for the rear teeth.
Children whose teeth have erupted, at the latest when they are 1 year old, should visit a dentist even if they have no problems. A pedodontist should be preferred. By doing so the children will get used to the dentist and the parents get informed about how they can avoid problems before they occur.
Milk teeth fall when time comes and are replaced by permanent teeth. But when they decompose, they cause problems such as pain, abscesses, bad breath, and nutritional problems. When they get extracted before their time, deformations, speech and chewing problems arise. Therefore the decayed milk teeth must be treated and kept in the mouth until the time of the fall is reached.
In this case, find the tooth as soon as possible and hold it carefully to avoid touching the root. Immediately go to a dentist, keeping the tooth in a clean container filled with milk.
Usually young children are afraid of the dentist. Pedodontists, who are pediatric dentists, use some techniques to communicate well with children. But if success can not be achieved in this way sedation techniques are used to provide relief for children. In more advanced cases, especially in patients with general health problems or disabilities dental treatment is performed under general anesthesia.
Children usually suck their fingers until they are 3-4 years old, which is normal. It usually ends up spontaneously. As they begin going to school, some problems with teeth may occur in children who still suck finger. For this reason, it is useful to discuss with a pedodontist and take necessary precautions.
Periodontal disease occurs when all or some of the teeth and surrounding tissues are affected. You may also have periodontal disease if you have sensitive, swollen, red, bleeding gums that do not cross a tooth, accompanied by tooth sensitivity, and teeth that are rocking and mouth odor. Studies have shown that when not treated this serious infection is associated with stroke, diabetes, respiratory tract diseases, and the risk of premature birth or the birth of infants with low birth weight, as well as tooth loss.
Inadequate oral care and the microbial plaque that accumulates on the teeth due to this, are the main factors. Genetic factors, systemic diseases and cigarette use are also known to be effective in the onset and progression of the disease.
Red, swollen and loose gingiva or pain in the mouth
Bleeding of the gingiva when brushing teeth and using dental floss or eating hard foods
Retraction of the gingiva; teeth appear longer than they were before
Increase of tooth spacing
Pus between tooth and gingiva
Sensitivity in the mouth
Stubborn mouth odor
Sensation of changes in the teeth position when the teeth are closed
Change in fixed or mobile prosthesis
Complaints of gingival bleeding when brushing your teeth, biting something or spontaneously and bad smell of the breath are the most common manifestation of gingivitis. The gingivitis, the lightest form of the disease, is manifested with swollen and red gingiva. It’s bleeding easily. The cause is usually inadequate oral care. The patient often feels no discomfort. This facilitates the progression of the disease. When the disease is untreated, the loss of the bone around the teeth can cause tooth loss. If you think you are experiencing this situation you should consult your dentist immediately.
When the gingivitis, the mildest form of the disease, is not treated, it can turn into periodontitis by affecting other tissues surrounding the tooth. The plaque on the teeth spreads to the bottom of the gingiva. Bacteria in the plaque produce various toxins. These toxins stimulate the chronic inflammatory response of the body, causing destruction of the tissues and bone that support the tooth. The inflamed gingiva is separated from the tooth and takes its pocket shape. The disease often progresses slowly. As the disease progresses, the pockets deepen and bone loss increases. As the tooth loses its support, it begins to swing and eventually the teeth are lost. If you feel swinging in your teeth, you should consult your dentist as soon as possible.
As the retraction can occur due to bone loss as a result of inflammation, also improper brushing and bad habits can cause gingiva retractions making the root surface get revealed. The retraction can lead to sensitivity, root rot and aesthetic problems. Once the cause has been identified, the dentist will inform you about the necessary treatment.
Since diabetic patients are at an increased risk of infection, gingivitis is more common in diabetic patients than healthy individuals. Today, gingivitis is considered to be one of the complications of diabetes. When gingivitis is not treated, it causes blood sugar increase and other complications. Diabetic individuals should not interrupt routine oral and dental surveillance.
Crown is the process of reducing the size of the teeth and its coating in case of Dental decay, fracture, or other cause of excessive material loss. A bridge is the process of filling the cavities by supporting the special dentures which come down to the adjacent teeth in one or more teeth missing. When there is a tooth loss for any reason, movement to this gap may start in the adjacent teeth. As a result, gingival problems in the adjacent teeth, bone loss due to tipping to this gap, changes in aesthetic deterioration and chewing forces may occur. If this space is not restored with an implant or a bridge prosthesis for a long time, this may also cause bending and / or loss of adjacent teeth.
The duration of treatment lasts for an average of 2 weeks, depending on the difficulty of treatment and the number of teeth involved.
Prosthetics are termed conventional or immediate prostheses, depending on when they are made and when they are attached. Immediate prostheses are prostheses inserted immediately after the teeth are extracted. For this, the dentist takes measurements before the teeth are extracted and prepares the teeth according to the changes that will occur when these teeth are extracted. The greatest advantage of immediate prostheses is that the patient is never toothless. However, contraction of the post-graft support tissue during the healing process requires that these prostheses be primed from time to time to restore conformity with the underlying tissue. The full recovery takes about 2-3 months and then traditional prostheses can be made.
During the first few weeks of wearing prostheses, it is very difficult to use until you get used to it. The tongue and cheeks are felt to be loose as far as learning to hold the prosthesis in place. It is normal that small irritations and hurting places occur. During first use, you may feel that your saliva is increasing. As your dentist fixes them on the ckeck-up examinations and you get used to the prostheses, these complaints will decrease.
Speaking also requires practice, such as eating. If your prosthesis makes noise while talking, speak slower. If you find it difficult to pronounce the words, speak with a loud voice and repeat the words which make difficulties. If your speech problems continue, you should definitely consult your dentist.
At the beginning, it may be necessary to wear your prosthesis day and night in order to provide the tissues to adapt to the prosthesis. After adaptation, it may be advisable to remove your prosthesis at night to make the tissues under the prosthesis rest. However, if you clean your prosthesis regularly, it is ok to use it at night.
Prosthetic adhesives can be used to increase the retention of your well-matched prostheses. They should not be used with bad prosthetics which are damaged and irritate the underlying tissues. These will not make the complaints disappear, but will cause them to increase. These prostheses need to be primed or renewed to restore compatibility with tissues.
Prostheses, like natural teeth, need to be brushed every day to clean up food residues and plaque. Brushing is also important in terms of the health of the oral tissues as well as in terms of cleaning the prosthesis. You can use soaps with brushes specially prepared for brushing prostheses or toothbrushes with soft bristles. You can also use denture cleaners or ultrasonic cleaners that you can find in pharmacies and markets for cleaning. Do not use harsh toothbrushes that can break the prostheses. Do not use too much abrasive cleaners or whiteners such as bleach when cleaning your prosthesis. Prosthetics are vulnerable to impact, so they can easily break when they drop. For this reason, the cleaning of the prosthesis should take place on a towel or a container filled with water. Never put your prosthesis in boiling water while this can cause deterioration of the prosthesis. Brushing the prosthesis with soft brushes from outside and brushing the supporting tissues under the prosthesis is also very important in terms of protecting your oral health.
The connection between the prosthesis and the supporting tissues may deteriorate as result of the tissue contraction over time. This relationship can be achieved by priming processes. If this is not done, the prosthesis will loosen and start to irritate the tissues and will hurt. When this condition persists, it can cause serious problems in the mouth. When the prosthesis becomes impaired, when the dentures are worn out and when the food can not be grinded as effective as before, the denture must be renewed. Even if this is not the case, the prosthesis may need to be renewed every 2 to 5 years, while the material is beginning to constitute a suitable environment for the bacteria. When there is a problem with your prosthesis do not try to correct it yourself and consult your dentist immediately. The lifespan of fixed dentures is usually at least twice as long.
In order to prevent the pain, abrasion and deformities that might occur in the teeth of patients who grind their teeth at night, we produce night plaques in our clinic.
Congenital defects in your mouth that concern the lower jaw, upper jaw, or other tissues, or later defects due to trauma or surgery, can be treated prosthetically. Your speech, swallowing, and eating problems that you are experiencing at this point will be relieved as soon as possible. Implant prostheses can be applied depending on your general health condition, the treatments you have received, and in case of bone structure compliance.
A facial prosthesis (epithesis) can be applied to you depending on the lack of ear, nose or eye in your face. Facial prostheses are prepared using silicone elastomers to match the shape and color of your healthy tissues. These prostheses can be prepared using conventional methods or CAD-CAM applications. In the ideal approach of your treatment, you can obtain aesthetically satisfactory result with consultation of other medical branches.
Hair Implantion
Particularly if the directions of the channels in which the hair roots are to be placed are opened in the direction of the exit of the person’s previous hair and at the same exit angle, the hair appears natural. Also, the front hair line is projected with a recessed pattern, and when using single roots along the front 1-2 rows, the result will be close to natural. In addition, the roots must be collected with the finest possible micromotor tips.
While with the FUE technique the hair will be cut to a length of 0.3 mm, persons undergoing a hair transplantation should take an off from their working or social environment. Alcohol should be avoided for 3 days and antiaggregant drugs lile Aspirin should be avoided for 7-10 days before the intervention. It is advised that you come to the clinic wearing front buttoned clothes. It is recommended that you wear shirts, vests and jacket-style clothes. Or it is recommended that you wear clothes with a wide collar allowing you to put them on and take them off easily. The process is completed in one session on the same day.
We recommend that you use prophylactic antibiotics (5 days), anti-swelling tablets (3 days) to prevent infection after hair transplantation. Taking an analgesic tablet once or twice after the procedure will be sufficient.
Your doctor will tell you in detail what you need to pay attention to after the operation, and it will also be written down.
We recommend that you continue with your normal diet. Low salt intake can help to prevent over-swelling.
The first 10 days are very important. The transplantation area should be protected against impacts and collisions. Because newly transplanted hair roots are very sensitive.
After two weeks you can perform non-heavy sports (walking, running, etc.). After six weeks you can lift weight and play soccer (with no header).
You can go into the sea in three weeks, but you should protect the planted area from the sun’s burning effect. You can enter the sauna after 2 months. We attach great importance to the sun protection after hair transplantation. It is necessary not to be exposed to the sun rays especially when there is a rash on the scalp. We can provide sun protection simply with a hat or bandana. High-protection sun creams can also be used. When your hair reaches a sufficient length, your scalp will start to be protected from sunlight.
In order to correct hair length difference between the donor area and the cultivated area, the donor area can be shaved after 3 weeks after the procedure. After one month, your hair in the cultivated area can also be cut with scissors. It is not recommended to scrap off the hair for six months.
After 1.5 months it begins to grow, but not all of the planted hair will come out at once. After three or four months, your new hair starts to appear clearly. In 9 to 12 months the final results can be seen.
A second transplantation can be performed in as early as 6 – 7 months. However, we still recommend to our patients to wait for 1 year. Because especially on the top area it takes up to one year for an efficient hair growth and the final results appear after this time. On the same token, the donor field is recovering fully in a year.
If you have hair in the donor area, you can undergo as many hair transplantations as you want. For those who do not have severe hair loss, one session is enough. Depending on the state of hair loss, a second or third session can be considered to thicken the hair. The most important criterion here is that you have enough hair in the donor area.
Hair Implantion
If according to your doctor there is no problem in the donor area, you can undergo as many hair transplantations as you want.
Your transplanted hair is your own natural hair. You can go on taking care of them the same way as you were doing with your previous hair and extend them as much as you like.
There are 3 stages.
Stage 1: Removal of hair roots; With the Micromotor FUE method will be collected from the back of your head, where “lifetime hair” are available. It takes 3 hours.
Step 2: Opening the ducts in which the hair roots will be implanted. They should be opened at an appropriate angle and direction at the planned frequency. It takes an average of 1 hour.
Step 3: Implanting the hair roots in the opened channels. It takes 3 hours.
A transplantation of four thousand grafts lasts about 7 hours.
Expectations regarding hair transplantation should be realistic. It is imperative that a parallelism is established between the patient’s expectation and the appearance to be achieved. For this reason, photographs of patients who have already undergone planting and number of grafts implanted should be clearly indicated, and factors related to the individual (hair color, hairy thickness, amount of hair loss, etc.) should be discussed in detail.
There is a need for a common decision between the doctor who will perform the transplantation and the person who will undergo the operation regarding the expected outcome.
We recommend 1 week, but this decision is entirely up to you. By hiding the planted area with the help of a hat, you can continue to work even the next day of transplantation.
If you are genetically meant to lose your hair, there is not much we can do. You can only reduce your hair loss with a number of FDA-approved products. We recommend using some lotions like Minoxil after the hair transplantation. Hair mesotherapy and PRP can also be used as supportive care. However, it is not possible to stop hair loss completely with these treatments.
Certainly not. Other causes of headaches should be investigated. There may be headaches associated with another reason.
In the FUT technique, doctors who are not experts, damage the nerve endings when they are cutting the hair roots out by an incision, causing a numbness in the nape area lasting for many years. After FUE, there will be a decrease in sensation due to the local anesthesia. This is temporary though.
Factors such as the density of your hair in your nape, the level of your hair loss, causes the hair to be implanted to be more or less frequent.
The area between the two ears and the nape region are the most important donor areas for hair transplantation.
The entire hair we collect from the chest, back, or other areas is never sufficient.
It is not possible for body hair to be of the same structure and quality with roots collected from the scalp. The bristles from the chest and other areas just allow us to create a slightly more haired image.
They have a certain life span (such as 5 to 10 years), visible traces in the donor areas can remain, it is necessary to apply local anesthetics to very wide areas.
Of course you can use them. Contrary to the common belief, these products do not harm your hair very much. You just need to wash your hair before going to bed. However, you should not apply them too much especially to the hair roots.
Plastic Surgery
“Gynecomastia flattening vests” can be used during adolescence or until the operation date.
It is possible to distinguish between 3 types depending on the structure of overgrown breast tissue:
-Glandular Type: Hard breast tissue predominates; It has to be removed surgically.
-Convoluted Type: Glandular tissue and fat tissue have a surplus; Surgery and fat removal (liposuction) are combined.
-Fatty Type: Fat tissue predominates; It can only be treated with liposuction.
If the cause of gynecomastia has been found, by treatment of the underlying cause also a regression of the gynecomastia will be expected. It is recommended to wait for a year after the end of gynecomastia medication.
During the waiting period, physical exercises are performed to improve the chest muscles in order to reduce the breast tissue, but the developing chest muscles make Gynecomastia even more prominent.
The incidence of breast cancer in male patients with gynecomastia is not different from other males. However, when unilateral gynecomastia develops in patients with Klinefelter syndrome, breast cancer should be suspected and breast biopsy should be performed.
There is no cause in 25% of all gynecomastia cases and in 85% of surgically treated gynecomastia cases (idiopathic gynecomastia). On the other side, gynecomastia can develop for a variety of reasons like cancer (such as adrenal tumors, testicular tumors, lung cancer, liver cancer, etc.), endocrine diseases, metabolic diseases, trauma, psychological stress, obesity, familial characteristics, viral infections and especially medicaments which can lead to increase of estrogen level or decrease of testosterone level.
Gynecomastia can be seen at any age. It is caused by the estrogen hormones that are passed on to the mother in newborns, and their plasma level declines within a few weeks. At the beginning of puberty (13-15 years), approximately 60% of men develop gynecomastia at different grades and disappear spontaneously within a few years. When they reach 17 years of age, the incidence rate decreases to 7.7%. The incidence of gynecomastia due to decrease of testosterone increases again in advanced age.
The term gynecomastia is a compound word consisting of the Greek words gynec (feminine) and mastos (breast). It refers to the excessive growth of male breast tissue for any reason.
While the mammary glands are preserved during breast augmentation and breast surgery, there will be no nursing problems.
Because of pregnancy, lactation, frequent weight gain, aging, menopause, the ligaments that connect the breast tissue to the anterior wall of the chest are loosened and the volume of the breast often decreases. Breast skin is abundant and the nipple sags.
Breast reduction surgery does not lead to breast cancer. On the contrary, since the amount of breast tissue is reduced, the likelihood of breast cancer is also reduced.
Breast Reduction surgery is performed under general anesthesia in operating room conditions. The average duration of the operation is 3 hours. The patient should remain hospitalized for one night.
Excess breast tissue and skin can be removed using different methods. Depending on the most commonly used methods;
– A circle only around nipple,
– An additional vertical scar under the nipple,
– An additional L-shaped scar under the nipple,
– An additional inverted T-shaped scar under the nipple,
– There may be horizontal scars around the nipples and at the inframammary fold.
The structure, height, weight and body measurements of the breast and chest of a person are taken into account when determining the size of the prosthesis to be used to enlarge a breast. The patient and the doctor will decide together which size and shape to use with the prosthesis, without forcing these physiologic limits. During the operation, the plastic surgeon evaluates the view for the last time by applying the test prosthesis before implanting the main prosthesis. Sometimes also one size bigger and one size smaller prostheses are also tested, and the prosthesis producing the best result is used.
It is recommended to perform a breast augmentation surgery after the age of 18when the development of breast tissue has been completed. However, when the breasts grow asymmetrically in the adolescence, causing serious psychological problems, it is also possible to perform a breast augmentation in earlier ages.
Breast augmentation surgery is performed under general anesthesia.
Plastic Surgery
It is better to undergo a breast reduction surgery at the end of the weight loss process, because the breast and the breast measurements will change as well.
At least 6 months have to pass after nursing for a breast reduction.
A breast (macromastia, gigantotomastia, breast hypertrophy) that has reached large measurements for various reasons can negatively affect body perception and self-confidence, leading to serious psychological problems. In addition to this, back and neck aches, bra marks on the shoulders, rash under the breasts, etc. are also sources of physical discomfort.
The decrease in volume and irregularities in shape of the breast is remarkable. There may be hardness, mass, and pain in the hand. The diagnosis is confirmed by imaging methods such as breast US, mammography and MR. In such a case, the prosthesis should be replaced with a new one as soon as possible.
1 month after the breast augmentation surgery you can start to use an athletic type wireless bra and after 3 months you can start to use an underwired bra.
Breast augmentation prostheses used in surgery do not interfere with pregnancy and lactation. Breast augmentation operations can be performed at least 3 months after breastfeeding, in some cases, depending on the condition of the breast, after 6 months.
A breast augmentation prosthesis can theoretically remain in the body for a lifetime, but there is a possibility of deformation after a certain period of time due to wear down on the outer wall of the prosthesis. This time varies according to the structure and quality of the outer wall. So it is said to be about 15 years. While there is often also a sagging of the breasts after the end of this period, both the prostheses are changed and the sagging corrected.
The most common complication after the surgical intervention is a hematoma (blood hemorrhage) in the pocket where the breast prosthesis is placed. The removal of the prosthesis may be necessary if an infection occurs in the surgical site. After the infection has recovered, the prosthesis can be implanted again. There may also be wound healing problems in the stitching area.
3-5 days after the surgery you can shower and start working.
Two main groups are distinguished: round and anatomical shape (drop model). Anatomical type prostheses resemble the shape of a normal breast. The nipple and the region underneath is more filled. This type is especially preferred when there is not much breast tissue. These prostheses are produced in different sizes. It is up to the plastic surgeon to determine the right size.
The outer sheath of the breast prosthesis used in the surgery is made of silicone. The prosthetic sheath contains either saline (saline) or silicone gel which can have a variable fluidity. Recently, in the Breast augmentation surgery, gels with higher consistency called cohesive gels became popular. The gel inside does not flow out even when the product’s sheath is ruptured. At the same time, due to the structure of these prostheses it is possible to shape the breast better and to retain it for a long time. The consistency of the breast texture is closer to consistency. It is possible to obtain successful results by using prostheses of different sizes and structures in asymmetric breasts.
It is not possible to realize a standard prosthesis from the outside if it is applied properly. Most surgical breasts seen in the media have an artificial appearance as a result of forcing the normal limits or misapplication.
Breast augmentation surgery is performed in operating room conditions.
Breast augmentation is the process of enlargement of a small-sized breast by implanting a silicone prosthesis in the pocket that is formed under the breast tissue. If the breast is small but there is a prominent sagging in the nipple and the breast, breast enlargement surgery is combined with breast recovery (mastopexy). It is an intervention that directly affects the psychosocial situation of the person the quality of life.
Liposuction
If you get fat removed from your abdomen, hips and waist area you see the results immediately. However this is not the complete result yet. In 6 months the final results will be seen. The results are immediately noticeable if the fat is too much in the thighs, lower legs and upper thighs. If it is low, it becomes difficult to evaluate the result because of the swelling that occurs the next day. In these regions it is more convenient to make an evaluation after 6 months.
This operation does not restrict your daily life. You feel safe in the corset after 1 day of rest. The one-month period in which the corset is constantly worn can be considered as the period of recovery. I especially recommend lymphatic massage for the legs after this process. It is also a very useful method against cellulitis in addition to eliminating edema. After 1 month you can continue your normal life.
The amount of fat removed is determined by the age and health status of the person. Ofcourse it is healthier to remove fat for shaping. But sometimes it is also useful to remove some fat from genetic lipoidosis areas in people having begun to lose weight, who however are frustrated, to give them morale. So they become more loyal to their diet. 2 to 3 liters of abdominal fat, 3 liters of fat from hips and 4 liters of fat from waist can be removed. The fluid being lost by the person while the fat is removed should be replaced intravenously. The patient can go home on the same day after fluid replacement in case of fat removal from small areas. However in case of fat removal from larger areas the patient should stay in hospital for one night, and the fluid replacement should be supported by intravenous infusions and oral intake.
Liposuction
Those with chronic diseases, those with advanced age, especially those with cardiovascular and circulatory system disorders, are not preferred. Immediate mobilization after liposuction is important. We do not recommend liposuction for those suffering from the aforementioned situations, since they have less movement and the risk of exacerbation is higher. Of course, people who have lost much weight will still apply to us, thinking that there is still fat, while the skin is hanging extensively. In these people, a skin stretching surgery is more appropriate than liposuction. I do not recommend liposuction to people with too much weight. After losing some weight, at a reasonable BMI level the surgery can be applied. The remaining 3-5 kilograms, which is very difficult to be lost by sports, is removed. The body is shaped as well.
If you do not have overweight and you are undergoing surgery for shaping, you notice a tightening rather than weight loss. Those who have excess weight lose weight. However, the amount of weight loss may not be that evident at first, due to edema. If they pay attention to their diet, after 2 months, they will realize how much weight they have lost.
Generally, liposuction is performed with local anesthesia, so it is less painful than other operations. Less pain relief is needed. However, even if there is some pain after the operation, it responds to normal pain relievers.
The permanence is evident when liposuction is performed to shape waist, hip, knee, and inner thighs. But for the abdominal region, the degree of permanence becomes evident by paying attention to the person’s diet. Of course there is also the birth event in the ladies, which is very effective in the dynamics of the abdominal region.
What is the difference between weight loss and liposuction?
The goal in liposuction is to shape. But in some special cases we do this for people who also have a few kilos overweight. The best example for liposuction is the removal of genetic fat in the hip region. People losing weight by diet experience weight loss in every area but not the problematic area. At this point liposuction should be introduced.