Facial Aesthetıcs

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Temporal lift

This surgery is especially for patients who are complaining about their tired and sad look caused by droppy eyes and droppy face. This surgery means doing a 2cm incision in your hairline behind your temporal area, with that surgical technique we are lifting up all your deep tissues. And sometimes we are combinating this surgery (if needed) with the midfacelift (doing it from the inside of your mouth, most scarless surgery means no visible scar from the outside) which means lifting up the whole cheeks so the middle part of your face or with the upper blepharoplasty.

With that surgery the brows will be lifted from the side (outter corner), and you are getting more almond eye shape look (canthopexy) and lifting the upper part of your cheek also with it. Especially in suitable patients, very effective results can be obtained due to skin stretching under the upper eyebrows and under the eyes.

Frequently Asked Questions (FAQs)

1
How long does this surgery take ?

This surgery takes between 1-2 hours.

2
How is the healing process after a temporal lift approximately ?

You will stay 1 night in hospital after this surgery for control purposes. Especially the first 2 days also the 3rd and the 4th day you will got a lot of swelling around your eyes and also bruising. After 4-5 days you will get a little bit rid of the swelling and the swelling and bruising may change places like going down way or up. The firsrt 2 weeks it is normal that you got asymmetry and you might think that your eye shape looking too slanted or too much changed, but that is part of the healing and we are expecting this. After 2 weeks you will be ready to return to your social life easily.

3
Is the temporal lift surgery permanent ?

There is no surgery which can be called permanent. But you can explain this surgery as a lifting of all the deep tissues and as changing their positions permanently. In all surgeries, the skin quality of the person, environmental factors, self-care, nutrition and especially genetics are very important. It can change from person to person. Every patient is healing different. And it is impossible to give you something like a guarantee for any kind of surgery that it will be permanent and staying the same your whole lifetime. After getting the movement of your eyebrows back and after starting again using your gestures there will be skin relaxation. You cannot prevent yourself from this. Therefore we are always lifting everything up to the maximum during the surgery even if a natural result is planned because we are calculating the fall, so we are taking it into account. Your surgery result will age with you with the time but its beautiful effects are expected to stay with you.

4
Where will be the incision of this surgery?

İnside your hairline behind your temporal area- an incision of approximately 2.5cm is planned, parallel to the hairline, 2cm behind it.

5
Which ares going to be effected by the temporal lift ?

The temporal lift including lifting your brows from the outter corner means lifting the tale of your brows and changing the shape of your eyes and eyeposition changing to make it more like almond eye or to reach the cat eye look and also lifting the upper part of your cheeks.

6
Is there any chance of choosing getting more slanted eye look or choosing more the natural look ?

We are deciding this with you together on your first examination/consultation before the surgery and discussing this and planning.

7
How long will the swelling take after the surgery ?

We are expecting a lot of swelling and bruising especially during the first 2 weeks, but this period can change depending on your genetics and also on environmental factors. To get rid of the swelling and bruising completly might take between 6-8 weeks. That is what we are expecting generally.

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Type Of Anaesthesia:General
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Operation Time: 60 min
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Length Of Hospital Stay: 1 night
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Recovery Time:2-4 weeks
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Pain: Middle
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Corset: None
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Dressing Time: 5 days
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Difficulty Level: 2/5
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Midfacelift

The Face got 3 parts: the upper part, midface and the lower part of the face. But in most of the cases there is not paid enough attention on the middle part of the face. This surgery is suitable for patients who do not got saggy neck or any problem in the lower part but sagging cheeks.

We are doing the incision inside the mouth so therefore there wont be any scar around or behind or in front of ear or infront of the hair or on your lower eyelids or on any other visible places on your face, so the scar wont be visible from the outside. In this intraoral surgery, all midface (cheek and cheekbone) tissues are released over the bone plane and lifted and stretched upwards and obliquely according to the plan. Over the bone plane surgeries are the most harmless technique for your nerves and vessels. This surgery aims to getr id of tired look/ sagging cheeks droppy face. This surgery is suitable for patients (young or midage) who are complaining about their lower eyelids, sagging skin on the jawline or about their visible noticeable nasolobial folds. Midfacelift surgery we are combinating often with the temporal lift or in some cases with necklift, and in suitable patients cases we are sometimes doing also buccal fat repositioning (taking off your buccal fat and changing the position of it, so not taking it off your face).

Frequently Asked Questions (FAQs)

1
Who is suitable for the midfacelift surgery ?

Especially for patients who got droppy and sagging cheeks, who got big distance between their lower eyelids and cheeks and also for the ones who got noticeable nasolobial folds around their mouth. But if theres sagginess on the whole face especially in the lower part of your face then this surgery would not be a solution for you we would not suggest you this then.

2
How you are doing this surgery ?

Most of the cases we are doing midfacelift with temporal lift together. 2.5 cm incision made through the hair area in the temple area, 1 cm incision made above the upper teeth in the mouth, and all the tissues inbetween are released on the bone plane, All bands and collapses in the midface, lower eyelids and zygomatic region so cheeks are released and surgically especially upward and oblique stretching is provided. There wont be any incision on your lower eyelids or around your ears.

3
Could this be done on younger patients ?

Of course. We would suggest this surgery especially to patients who got droppy and sagging cheeks caused by their genetics. It could be done fort hem easily and safely.

4
Can this surgery also solve problems in my neck area ?

Out of its main purpose it is especially effecting your jawline, especially in case of patients with good skin quality who do not got too much sagginess we are reaching success. And in case of patients with significant huge lower part we are also suggesting buccal fat repositioning if its needed (not taking off) to get a more effective result.

5
How is the period after the midfacelift surgery ?

A serious process awaits you after mid-face lift, the first 7 days after the surgery diet, serious oral care is required. Caused by the surgical technique there will be numbness on your upper lip and also around your nose. Pressure around the cheek in the first 2-3 days and also headache during the first week is expected. Especially patients with previously treated faces or filled faces will got much more swelling and bruising and it will take a long time to get rid of it. We want you to give us your first 2 weeks after your surgery and not to plan anything during that time. We will give you also some information text to read about the healing process day by day step by step.

6
Will there be any stitches taken off after the midfacelift surgery ?

Intraoral and intra-hair sutures are absorbable, selt-melting. There is no taking out process, no need to take them out.

7
How long will the swelling take after the surgery ?

We are expecting especially during the first 2 weeks a lot of swelling and bruising , but this period also depends on the patients genetics and on environmental factors, so it can vary. To get rid of the swelling completly can take between 6-8 weeks.

8
Do i have to use any corset after that surgery ?

No need to use any corset after the midfacelift surgery, there will be just some tapes on your cheeks and on your temporal area to avoid the swelling a little bit and for correcting.

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Type Of Anaesthesia:General
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Operation Time: 120 min
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Length Of Hospital Stay: 1 night
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Recovery Time:6-8 weeks
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Pain: Middle
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Corset: None
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Dressing Time: 10 days
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Difficulty Level: 3/5
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Necklift

We are doing this often with the deep plane faclift together and also in some cases if we see that the patient is suitable for this combination and if she or he does not want too much visible scars then we are also doing it with the midfacelift and the temple lift brow lift together to avoid too much visible scars.

Just liposuction wont be enough especially for patients with too much fat under the skin and too much sagginess on the neck area and swelling. The solution in that cases would be to do the restructuring of deep tissues and muscles and removing fat from deep tissues.

Frequently Asked Questions (FAQs)

1
For whom only necklift by itself is suitable ?

Especially patients who DO NOT got really noticeable sagginess on the lower part of their face who are not suitable fort he deep plane facelift and just got sagginess on the neck area are suitable for the necklift surgery by itself. Mostly we are combinating this surgery with the temporal lift and midfacelift surgery.

2
Where will be the scar of this surgery ?

Mostly the incisions are done under the chin and also around your earlobs means behind the ear folds. It is stated that there is no incision in front of the ear and the scars are planned on anatomical folds that can be preserved relatively better.

3
How is the after surgery process ?

Especially the first 3-5 days in the neck area we are expecting a lot of swelling caused by the reconstruction. This can cause pressure and pain. After surgery we are expecting fast healing, after the first 7-10 days, due to the gravity effect of edema and muscle structures, tiny bumps and a second neck can be observed in the surgical area, this situation is completely temporary.

4
How long would you recommend to wear the corset ?

In case of deep plane facelift we are suggesting to wear the corset for the first 7-10 days.

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Type Of Anaesthesia:General
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Operation Time: 120 min
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Length Of Hospital Stay: 1 night
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Recovery Time:4-6 weeks
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Pain: Middle
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Corset: 10 days
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Dressing Time: 10 days
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Difficulty Level: 3/5
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Deep Plane Facelift Necklift

There is many techniques for the deep plane facelift necklift. Most common in practice the technique we apply is not only stretching the skin, but also deep skin called subcutaneous smas.

As a result of the loosening of the structures with age or genetics, the smas sub-smas are completely released; oblique -It is the process of stretching the cross and back of the neck region. With under skin lifting it can be reached a more natural and more longlasting result. This surgery is especially for patients with sagging extra skin. The incisions starting from the hairline of the temple area, turning to the natural folding point in front of the ear and behind the ear then hidden in the back hairline.

Frequently Asked Questions (FAQs)

1
Who is a good candidate or suitable fort his surgery ?

Especially for patients with really sagging extra skin droppiness on the face.

2
Why it is nowadays common and mostly choosen doing the deep plane facelift necklift ?

This technique is highly preferred because not only the skin but also the skin tissue layer, which is the main cause of sagging, is completely released and stretched, more natural lines and not an overly tense appearance on the face that puts a strain on the skin. The aim is to get a more shaped jawline especially with the midface together and to get a more dynamic face structure. Since there is no excessive tension on the skin, the scars are very less visible.

3
How is the process after a real deep plane facelift necklift ?

The first 2 days we want you tos tay in our comfortable high quality hospital in our special rooms for being under control. During this first period you can take a first walk, you can go to the toilet easily and you can eat or drink by yourself. Especially during the first 3-5 days there will be feeling of tension on your face and also on your neck. In comparison to other facelift techniques we are expecting less swelling and less bleeding with our technique. Your first dressing in form of a wrap will be taken off right before leaving the hospital on your discharge day and we will put on some bants and also a light corset which you have to wear for the next 7 days. After discharge you can take a shower and you can wash your hair.

4
For which patients is this surgery risky ?

This surgery is risky especially for patients who are smoking or who smoked in their past for a long time , who got rheumatic diseases or hypertension, who got diabetes or bleeding disorder. In those cases there is more a high risk of getting complications. Most importantly, the evaluations should be made in more detail in those who have had permanent or non-permanent thread procedures, and who have done previously surgeries and those who have treated the face with heat-based or energy-based instruments.

5
Are the scars going to be visible or how will they be hidden ?

In the real deep plane facelift surgery, although it varies according to the needs of the person, the scars are hidden in the ear folding points starting from the temple area, an incision is made behind the ear and planned on the hair-skin line behind the ear. Since it is made in tension in accordance with the natural folding lines, the scars will decrease over time. But in some cases some bodies there could be keloid problem or hypertrophic scars, depending on the patients genetics, how much sun the skin is getting, smoking or not and also depending on using to often make up. Those points are influencing the scar healing.

We are suggesting to you all creams which might help you for a better scar healing.

6
What can i do to heal faster ?

We are suggesting all of our deep plane facelift patients to go to the hyperbaric oxygen treatment center to get hyperbaric oxygen treatment for a fast healing after facial surgeries. After discharging we are suggesting to take at least one hour per day this treatment the next 5-7 days right after discharging of the hospital.

7
How do i have to use the corset ?

The first 3 days you will use a thick corset. After the 3rd day you will start using the light and thinner corset 4-8 hours in a day. On the 10th day you can stopp it no need to use the corset anymore.

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Type Of Anaesthesia:General
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Operation Time: 3-4 Hours
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Length Of Hospital Stay: 2 days
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Recovery Time:4-6 weeks
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Pain: Middle
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Corset: 10 days
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Dressing Time: 14 Days
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Difficulty Level: 4/5
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Face Lift &Neck Lift

Sagging of the face and neck, accumulating skin in the jaw corners cannot be prevented as the age increases. The most effective way to turn back time is facial and neck lift aesthetics. It is done with many different techniques; although each technique has advantages, the best method is applied individually.

It is generally combined with fat injection. Facelift surgeries can preferably be performed under local anaesthesia.

Frequently Asked Questions(FAQs)

1
What is considered before face-neck lift surgery?

In general, as before all surgeries, blood thinners should be discontinued three weeks in advance in consultation with the anesthesiologist; if there are additional diseases-allergies, etc., our anesthesiologist should be informed. Smoking cessation at least six weeks before surgery is essential for facelift surgery. This is the surgical procedure where smoking affects the surgical process and wound healing the most.

2
What is face&neck lift surgery in general?

With age, the facial skin sags and accumulates in the jaw’s corners due to deformations or genetic factors. With the sliding membranes under the loose neck skin, the subcutaneous membrane and ligament structures are restored, and excess skin is removed with incisions made in the anterior and posterior ear and hairline. Face and neck lift surgery is one of the surgeries with the best results. The biggest mistake here is to expect an increase in skin quality. It should not be forgotten that this surgery is a stretching surgery; skin renewal is a combined procedure performed entirely after this surgery. In general, we perform face and neck lift surgeries together with a holistic approach.

3
Is there an age limit?

In general, it is a surgery performed more after the age of 40s, depending on the person’s face deformation. Non-surgical methods are preferred in earlier periods.

4
In which period is it recommended to do it?

When is the right time? The preferred period is autumn and winter, where cold weather and sun effects are low. It can also be done on summer days by taking precautions.

5
Will there be a scar?

As with any surgery, there will be scars in this surgery, but this scar is hidden in anatomical folding points contrary to popular belief. The anterior and posterior ear scars heal very well; the scars hidden in front of the scalp become less evident over time. It should be kept in mind that scarring depends entirely on the patient’s skin quality, genetic factors, external factors ( smoking – sun, etc.). Special creams are recommended to prevent scars after facelift surgery.

6
Which anaesthesia method is preferred for the procedure, and how is the postoperative process?

Face and neck lift surgeries can generally be performed under local anaesthesia + sedation or general anaesthesia, depending on the patient’s preference. Patients are preferably kept under observation for one night after local anaesthesia and for at least two nights after general anaesthesia. There will be special pressure dressings and drains for the first 2-3 days. Significant oedema and bruising are inevitable in the first ten days. After opening the first dressings, the hair can be washed. There will be daily dressings for the first two weeks, during which thin face corsets are worn. After two weeks, special scar prevention creams are applied.

7
When to return to social life?

Rest at home is generally recommended for the first five days after facelift surgery; it is essential not to increase blood pressure and avoid external factors. Rest is generally recommended for the first three weeks, and you can return to social life after this process.

8
When will the final result be seen?

Unlike other surgeries, tissues’ adaptation takes longer in facial surgeries, so oedema and swelling are evident in the first month, but healing continues for 6-12 months. The skin, which is felt tense in the first postoperative period, relaxes slightly and is felt more comfortable after the first healing.

9
What should I pay attention to?

After surgery, smoking, all movements that will increase blood pressure, and unhealthy meals should be avoided. Significantly excessive massage, early exposure to heat will damage healing tissues. After facelift surgery, it is essential to combine post-healing skin healing procedures. Especially in the high oxygen environment, keeping the head high and less salty diets are recommended for recovery.

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Type Of Anaesthesia: Local / General
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Operation Time: 2-3 Hours
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Length Of Hospital Stay: One Night
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Recovery Time: Three Weeks
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Pain: Minimal
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Corset: Five Days Face Corset
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Dressing Time: Ten Days
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Difficulty Level:4/5
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Brow lift

This surgery is for patients with downturned/sagging brows (caused by their genetics normally). For patients with downturned tale of their brows or even the middle in those cases we are doing (different from the temporal lift) , according to the anatomical structure of the patient, surgically brow lifting from under the bone membrane without changing the eye position or shape so no intervention on eye area, with 4 small incisions from the scalp. The aim of this procedure is to widen/enlarge the eyes and since the eye structure cannot be changed the tissues around the eyes are removed from the eye in other words, brow lifting is performed.

Mostly churgical bone shaving is also added to this surgery (outter side walls of the eye area, which is extremly noticeable, touchable in some patients cases). And with that we are getting more impressive look. So bone shaving is supporting this surgery and making it more effective.

Frequently Asked Questions(FAQs)

1
Where will be the scars of the browlift ?

Parallel to the hairy area  (hair follicles), approximately 2.5 cm on both sides on the temporal hairy area

There are two of the 0.5 cm scars in the midline.

2
How will be the process after the brow lift ?

First 6-8 weeks all of your forehead muscles wont work. There could be seen some asmmetry during that time caused by some earlier working muscles. You can feel for a while some kind of numbness on your forehead area or on the hairy skin in the midline. This is just temporary.

In the first period, the brows  going to seem like they were too much lifted. This situation will get back to a more natural look when the muscles start to work, it may take 3-4 weeks.

You will be followed with bants for the first 7 days, then there may be irregularities, shrinkage in the skin. It is completly temporary. The final result will be achieved within 8-12 weeks.

3
What if a change/intervention is wanted on the eyes/cheeks ? Could it be done ?

The temporal lift could be done with this surgery together and if its wanted the midfacelift could be added also.

4
Does the bone shaving harm my face anatomy ?

If you want to get a more longlasting browlift result and if you want also to make your eyes more noticeable and if we think that you are suitable for that (during the face to face consultation we will see) then we can add also from the same incisions using micromotos to smoothen your eye walls from under the bone membrane. That is not something like breaking bones. This is completly safe and not a big thing (little intervention).

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Type Of Anaesthesia: General
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Operation Time: 1 Hours
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Length Of Hospital Stay: One Night
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Recovery Time: 2-4 Weeks
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Pain: Middle
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Corset: 7 Days Face Corset
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Dressing Time: 7 Days
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Difficulty Level:3/5
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Whatever you have in mindAsk Your Doctor!

All your questions Op. Dr. Mehmet GENCER answers for you.