You intended to correct the visual problem that bothers you in your body or face, but you were frightened by what you heard around and chose to live with this suffering for the rest of your life. It turns out that you may have missed the possibility of having a healthy and active analysis with the developing aesthetic surgery or non-surgical aesthetic formulas. Aesthetic, Plastic and Reconstructive Surgery Specialist Operator Dr. Orhan Erbaş states that “having the right information will bring the wrong decision” at this step and explains the current developments in aesthetics.
What should individuals who are considering becoming an aesthetic process do?
The only way to make the right decision is to have real information. It can only be done by a specialist doctor in this regard, for you to have information about the process you are considering, positive or negative, in every aspect. The Internet is naturally a valuable source of information, but it also contains a lot of misinformation. It should be noted that every patient’s situation is different. While a system may be suitable for many, it may not be for you. Giving up a treatment with wrong information may cause you to carry a problem that will probably be fixed quickly for a lifetime. Plastic, reconstructive and aesthetic surgeons have completed five or six years of specialization training, I recommend that they benefit from their experience at the decision-making stage. These processes should be carried out by persons who can produce analysis in case of a possible complication.
What is your biggest challenge in the practice of your job?
The execution of our work requires a great deal of effort and concentration, but that’s not the hard part. Applications made by individuals with inadequate equipment negatively affect the aesthetic perception of the society. In addition, the exaggeration of some treatments more than they deserve also creates a lot of expectation. Trying to correct the wrong information also complicates our work.
What is the secret of your success in aesthetic processes?
The philosophical side of the work is valuable, I think, the respect and care I have for the human body is the basis of our work. The effort to obtain the natural and healthy is also valuable for long-term satisfaction. The experience of having produced analyzes for many patients is valuable for predicting the outcome of the process and the success of the process. Following new techniques and trying to do better keeps us dynamic.
The demand for aesthetics is increasing every year, what are the reasons for this?
According to the information of the American Society for Aesthetic Plastic Surgery, the demand for aesthetic processes in general is increasing. I think the most valuable reason for this is the increase in the value people place on themselves. It is also an encouraging fact that what looks nicer and healthier in business and social life is one step ahead. When all these are combined with the fact that the processes have become easier, more reliable, successful and even affordable, that is, as people find solutions, the demand increases.
What is our situation in aesthetic processes in Turkey?
Turkish physicians have proven themselves in the field of aesthetic, plastic and reconstructive surgery with their knowledge and skills. We fill our technology gap by closely following the developments, especially in the USA, but unfortunately by importing the devices. High-level treatments by choosing the most suitable devices and materials, the success of patient care and accommodation, ease of transportation and low cost have made many patients living abroad prefer us.
What are the most common plastic surgeries you do?
I frequently perform rhinoplasty, breast aesthetics, body shaping with LASER liposuction, tummy tuck, face lift, eyelid surgery, hair transplantation and fat injection.
How are men interested in aesthetics?
The number of applications is very high, especially due to the problem of breast enlargement, which we call gynecomastia. Since this situation is seen independently of being overweight, it cannot be solved with weight loss or sports. Very effective analyzes have been produced for men who used to try to hide their breasts, have poor posture, cannot go to the sea to the pool, and cannot wear tight clothes. It should not be separated as male or female, it is very natural for men to want to look masculine, women to look feminine and both of them want to look healthy. We actually bring people closer to nature as much as they are pleasant. We’re about to try to shrink men’s breasts.
You also do non-surgical aesthetics, how do you view these processes?
I use many systems, especially botox, filler, fibroblast cell culture, focused ultrasound, platelet-powered plasma, and LASER. In real life, they are very successful when used in real patients. However, it is necessary to know that its effects are limited in large deformities. I recommend this type of treatment more to patients in their thirties and forties. In advanced age, combining it with surgeries will increase the success even more.
How did innovations in aesthetics cause a change?
Many questions about aesthetic processes such as “Is it too difficult, is it faithful, when will I return to work?” are in the minds of those who think about these processes. In search of solutions to these questions, scientific and technological developments that start at the cellular level and spread over a wide area such as ultrasound and LASER continue rapidly. Thanks to these developments, aesthetic processes that are easier to apply, more effective, and even more confident are now possible. Body shaping with LASER Lipolysis, young and taut skin with fibroblast cell cultures, and reducing sagging of the face with focused ultrasound can be some examples. In addition, the content of filling elements has been greatly improved. In this way, more specific analyzes were produced for different parts of the face and lips, and the risk of foreign body reaction was greatly reduced. More natural results began to be obtained.
What advances are there in the Surgery part of the business?
The form, size and content alternatives of breast implants have increased so much that natural appearances are obtained in breast augmentation and lifting processes. In tummy tuck surgeries, it is combined with LASER Lipolysis to provide more adequate body contours. In rhinoplasty, techniques that prioritize breathing are used more often. The harmony of the nose with other parts of the face is examined in more detail, and a clearer prediction is provided to the patient for the post-process with computer programs. We protect the nose to be a dynamic, that is, a moving organ, in order not to disturb breathing. In facelift surgeries, we obtain more natural results by keeping the side of the stretching vector in the upper truth.
What are the developments in LASER Lipolysis and how does LASER Lipolysis differ from classical body shaping methods?
The new LASER lipolysis systems provide highly active fat breakdown and skin tightness by integrating additional wavelengths and increasing their power. LASER systems provide the stretching effect on the skin by heating the tissue. With the temperature sensors on the LASER system, we detect that we have reached a temperature that will provide tension on the skin but will not cause burns. In addition, motion sensors reduce the energy given when the surgeon slows down and protect it from burns. Lipolysis, that is, destruction of the adipose tissue with LASER, also allows for a more homogeneous and easy aspiration. Except for small areas such as the tickle, the destroyed fat is taken from the body by aspiration during the process. Other advantages of the system are the use of shorter corsets and less bruising than the classical fat removal processes. The process is done with very small incisions. However, it should not be forgotten that this process is also a surgical intervention and it is a regularization period depending on the area to be performed.
Who is LASER Lipolysis suitable for?
An ideal system for body contour disorders. For example, it is very effective on the waist, hips, around the knees, upper inner thighs, back and abdomen. It is also used for thinning the arm, tickle and ankle. If the male breast enlargement is not very advanced, analysis is possible with this system. Other methods should be used for weight loss in overweight patients or for sagging caused by high weight loss.
How does focused ultrasound, known as non-surgical face and neck lift, work, and how is it different from old methods?
Ultrasonic sound waves are focused on the desired tissue depth and small heat damages are created in the connective tissue under the skin that increase the collagen production without damaging the upper layer of the skin. In this way, the skin begins to produce new collagen by creating its own repair process, and the skin tightening, the upper false stretching effect manifests itself. Here, the most important difference from other methods that aim to shrink the tissue by heating is to focus the ultrasound power on the tissue called SMAS, which we aim to reduce in face lift surgeries by bypassing the upper layers of the skin. After the application, the regeneration process starts quickly, even at the first moment, a slight stretching effect is seen. The skin starts to look more adequate with each passing day after the application, after a week you feel your skin smoother, after a month the effects become visible, at the end of three months the desired result is observed. Skin stretching with focused ultrasound is a one-session application and is repeated within six months at the earliest and one year at the latest. Since it stimulates the production of collagen in the skin and causes shrinkage in the SMAS tissue, the result obtained is permanent for a long time. Having different heads that can focus the energy to the desired depth, it offers a wide range of treatment alternatives for the face, neck and body, for wrinkle reduction and stretching. The person can easily continue his daily life after the process and does not experience any restrictions. The process takes about half an hour.
How do you see the future of Aesthetic Processes?
I think that studies in the field of genetics will reflect on aesthetics, but this will take time. Correcting existing deformities constitutes many of our events today, and I predict that in the future, young individuals will have a consciousness that will increase the processes of preserving the current situation.