Seconder Rhinoplasty


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Secondary rhinoplasty surgery, or in other words, revision rhinoplasty surgery is the reoperation of a person who has undergone nose surgery due to an aesthetic or functional defect that cannot be corrected despite surgery or that occurs after surgery. This surgery can also be called secondary nose surgery.

With the second operation, additional procedures such as intervention in more than one area of ​​the nose and the use of cartilage grafts may be required.

When Can Secondary Rhinoplasty Surgery Be Performed?

In order for the secondary nose surgery to be performed, at least 1 year must pass after the first nose surgery. This period is important for the nose to regain its natural state after surgery. Otherwise, the success rate of the second nose surgery will decrease.

How is Secondary Rhinoplasty Performed?

It is necessary to take cartilage for the second nose surgery and if there is not enough cartilage in the nose, it may be necessary to take cartilage from the patient’s ear or rib region. Since all cartilages are usually removed during the first surgery, the use of cartilages in the ear and rib region is quite common.

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DescriptionAfter the surgery, patients can usually go home on the same day or after staying in the hospital for 1 night at the latest. In the first two days, there may be swelling, bruising and blood leakage from the nose. In the first days, patients may experience difficulty in breathing. Patients can continue their normal life after 2 days. The plaster and sutures are removed on the sixth day. After the plaster is removed, the patient can return to work. If bruises remain, they can be hidden with the help of concealer makeup. After about 3 weeks, the swelling goes down to a great extent and the patient's surgical appearance disappears. Patients should not do sports where they can get hit on their face for 3 weeks after surgery. If one or more of the following structural problems are present, you may be a good candidate for rhinoplasty.
  • Short nose
  • Long nose
  • Arched nose
  • Low tip nose
  • Broad nose
  • Wide nose wings
  • Excessive protrusion of the tip of the nose forward
  • Nose tip asymmetries
  • High transition point between forehead and nose
  • The angle between the upper lip and the nose is too narrow
  • The part between the two nostrils called columella in terminology is inside or drooping
  • Big nose
  • Small nose
ContentSecondary rhinoplasty surgery, or in other words, revision rhinoplasty surgery is the reoperation of a person who has undergone nose surgery due to an aesthetic or functional defect that cannot be corrected despite surgery or that occurs after surgery. This surgery can also be called secondary nose surgery. With the second operation, additional procedures such as intervention in more than one area of ​​the nose and the use of cartilage grafts may be required.

When Can Secondary Rhinoplasty Surgery Be Performed?

In order for the secondary nose surgery to be performed, at least 1 year must pass after the first nose surgery. This period is important for the nose to regain its natural state after surgery. Otherwise, the success rate of the second nose surgery will decrease.

How is Secondary Rhinoplasty Performed?

It is necessary to take cartilage for the second nose surgery and if there is not enough cartilage in the nose, it may be necessary to take cartilage from the patient's ear or rib region. Since all cartilages are usually removed during the first surgery, the use of cartilages in the ear and rib region is quite common.
1 TO 16 YEAR OLD CHILD SCREENING PACKAGE
LABORATORY ANALYSIS
Glucose To determine whether or not your blood glucose level is within normal ranges; to screen for, diagnose, and monitor diabetes, and to monitor for the presence of  hypoglycaemia (low blood glucose) and hyperglycaemia (high blood glucose)
Urea (Bun) To measure how much of  waste product you have in your blood. It is used to determine how well your kidneys are working
Creatinine To assess kidney functions
Complete Urinalysis Test To look for metabolic and/or kidney disorders and for urinary tract infections
AST (SGOT) To diagnose  liver, bile duct and heart diseases.
ALT (SGPT)
Sodium To investigate causes of dehydration, oedema, problems with blood pressure, or non-specific symptoms
Potassium To help diagnose and determine the cause of an electrolyte imbalance; to monitor treatment for illnesses that can cause abnormal potassium levels in the body
Calcium To scan, diagnose, and monitor a range of conditions relating to the bones, heart, nerves, kidneys, and teeth.
C-Reactive Protein (CRP) To identify the presence of inflammation, to determine its severity, and to monitor response to treatment.
25 Hydroxy Vitamin D To investigate a problem related to bone metabolism or parathyroid function, possible vitamin D deficiency, malabsorption, before commencing specific bone treatment and to monitor some patients taking vitamin D.
Iron To determine your blood iron level and to help diagnose iron-deficiency anemia or iron overload.
Transferrin and Iron-binding Capacity To help diagnose iron-deficiency or iron overload.
Blood Count Haemogram Haemogram serves as broad screening panel that checks for the presence of any diseases and infections in the body.
Ferritin To help assess the levels of iron stored in your body
Vitamin B12 To help diagnose the cause of anaemia or neuropathy (nerve damage), to evaluate nutritional status in some patients, to monitor effectiveness of treatment  of B12 or folate deficiency
Free T3 To help diagnose hyperthyroidism and monitor it's treatment
Free T4 To diagnose hypothyroidism or hyperthyroidism in adults and to monitor response to treatment
TSH To screen for and diagnose thyroid disorders; to monitor treatment of hypothyroidism and hyperthyroidism
Folate A cause of anemia or neuropathy; to evaluate nutritional status in some people; to monitor the effectiveness of treatment for vitamin B12 or  deficiency
Anti HBs To detect, diagnose and follow the course of an infection with hepatitis B virus (HBV) or to determine if the vaccine against hepatitis B has produced the desired level of immunity
Fecal Direct Parasite Search (Ova & Parasite Exam) To determine whether you have a parasite infecting your digestive tract
OTHER ANALYSIS
Abdominal Ultrasound To identify diseases at organs in the abdomen, including the liver, gallbladder, spleen, pancreas, and kidneys.
Electrocardiogram To measure the electrical activity of the heartbeat and hearth rhythm
EXAMINATIONS
Ophtalmology Examination General physical examination, evaluation of the results and recommendations.
Pediatrics Examination
E.N.T. Examination
General Surgery Examination
Dermatology Examination
WOMEN OVER 40 LARGE SCREENING PACKAGE
LABORATORY ANALYSIS
Glucose To determine whether or not your blood glucose level is within normal ranges; to screen for, diagnose, and monitor diabetes, and to monitor for the presence of  hypoglycaemia (low blood glucose) and hyperglycaemia (high blood glucose)
HbA1c To monitor average blood glucose levels over a 3 month period. Used to help diagnose and monitor people with diabetes
Urea (Bun) To measure how much of waste product you have in your blood. It is used to determine how well your kidneys are working
Creatinine To assess kidney functions
Uric Acid To diagnose kidney disorder,diagnose and monitor people with gout, monitor kidney function
Complete Urinalysis Test To look for metabolic and/or kidney disorders and for urinary tract infections
Total Cholesterol To screen for risk of developing cardiovascular disease (heart disease, stroke and related diseases); to monitor treatment
LDL Cholesterol
HDL Cholesterol
Triglycerides
AST (SGOT) To diagnose  liver, bile duct and heart diseases
ALT (SGPT)
GGT To screen for liver disease or alcohol abuse; and to help your doctor tell whether a raised concentration of alkaline phosphatase (ALP) in the bloodstream is due to liver or bone disease
ALP To screen for or monitor treatment for liver or bone disorder
Sodium To investigate causes of dehydration, oedema, problems with blood pressure, or non-specific symptoms
Potassium To help diagnose and determine the cause of an electrolyte imbalance; to monitor treatment for illnesses that can cause abnormal potassium levels in the body
Chloride To determine if there is a problem with your body’s acid-alkali (pH) balance and to monitor treatment
Calcium To scan, diagnose, and monitor a range of conditions relating to the bones, heart, nerves, kidneys, and teeth
Phosphate To help in the diagnosis of conditions known to cause abnormally high or low levels
Amylase To diagnose pancreatitis or other pancreatic diseases
Lipase To diagnose and monitor pancreatitis or other pancreatic disease
Magnesium To measure the concentration of magnesium in your blood and to help determine the cause of abnormal calcium and/or potassium levels
C-Reactive Protein (CRP) To identify the presence of inflammation, to determine its severity, and to monitor response to treatment
25 Hydroxy Vitamin D To investigate a problem related to bone metabolism or parathyroid function, possible vitamin D deficiency, malabsorption, before commencing specific bone treatment and to monitor some patients taking vitamin D
Blood Count Haemogram Haemogram serves as broad screening panel that checks for the presence of any diseases and infections in the body
Erythrocyte Sedimentation Rate (ESR) To detect and monitor the activity of inflammation as an aid in the diagnosis of the underlying cause
Ferritine To help assess the levels of iron stored in your body
Vitamin B12 To help diagnose the cause of anaemia or neuropathy (nerve damage), to evaluate nutritional status in some patients, to monitor effectiveness of treatment  of B12 or folate deficiency
Free T3 To help diagnose hyperthyroidism and monitor it's treatment
Free T4 To diagnose hypothyroidism or hyperthyroidism in adults and to monitor response to treatment
TSH To screen for and diagnose thyroid disorders; to monitor treatment of hypothyroidism and hyperthyroidism
FSH To evaluate the function of your pituitary gland, which regulates the hormones that control your reproductive system
LH
Estrogens (E2) To measure or monitor your estrogen levels; to detect an abnormal level or hormone imbalance ; to monitor treatment for infertility or symptoms of menopause; sometimes to test for fetal-placental status during early stages of pregnancy
Prolactin To diagnose a prolactinoma (a type of tumor of the pituitary gland, help tofind the cause of a woman's menstrual irregularities and/or infertility. Or to help to find the cause of a man's low sex drive and/or erectile dysfunction
Beta hCG To confirm and monitor pregnancy or to diagnose trophoblastic disease or germ cell tumours
HBsAg To detect, diagnose and follow the course of an infection with hepatitis B virus (HBV) or to determine if the vaccine against hepatitis B has produced the desired level of immunity
Anti HBs
Anti HCV To screen for and diagnose hepatitis C virus infection and to monitor treatment of the infection
Anti HIV To determine if you are infected with human immunodeficiency virus (HIV)
CEA In the presence of certain cancers, CEA may be used to monitor the effect of treatment and recurrence of disease
CA 125 To monitor treatment for ovarian cancer or to investigate for a possible ovarian cancer
CA 19-9 To help tell the difference between cancer of the pancreas and bile ducts and other conditions; to monitor response to pancreatic cancer treatment and to watch for recurrence
CA 15-3 To monitor the response to treatment of breast cancer and to watch for recurrence of the disease
AFP To screen for and monitor therapy for certain cancers of the liver and testes
Fecal Direct Parasite Search (Ova & Parasite Exam) To determine whether you have a parasite infecting your digestive tract
Fecal Occult Blood Test To screen for bleeding from the gut/intestine, which may be an indicator of bowel cancer
OTHER ANALYSIS
Abdominal Ultrasound To identify diseases at organs in the abdomen, including the liver, gallbladder, spleen, pancreas, and kidneys
Thyroid Ultrasound To characterize a thyroid nodule(s), i.e. to measure the dimensions accurately and to identify internal structure and vascularization
Carotid Ultrasound To detect narrowing, or stenosis, of the carotid artery, a condition that substantially increases the risk of stroke
Breast Ultrasound (Bilateral) To screen suspected breast cancer or for early diagnosis and control. It is the imaging of breast with ultrasound device
Mammography (Bilateral)
Pap Smear Method for early diagnosis of Cervical cancer and infectious diseases
Echocardiogram To evaluate how your heart moves, heart valves are working and heart’s pumping strength
Electrocardiogram To measure the electrical activity of the heartbeat and hearth rhythm
Exercise Stress Test To determine how well your hearth handles work. The test can show if the blood supply is reduced in the arteries that supply the heart
Pulmonary Function Test To tests that measure how well your lungs work.
Chest X-Ray The most commonly preferred diagnostic examination to produce images of heart, lungs, airways, blood vessels and the bones of the spine and chest
EXAMINATIONS
Internal Medicine Examination General physical examination, evaluation of the results and recommendations
Cardiology Examination
Gynaecology Examination
Ophtalmology Examination
Pulmonology Examination
General Surgery Examination

Breast Health Package for Women Over 40

Our Breast Health Center, which is a part of Yaşam Hospital Oncology Center, offers all the possibilities of technology to provide the best care to every woman.

What is Mammography?

Mammography is the low-dose X-ray imaging of the breast tissue to look for early signs of breast cancer before symptoms develop. It can also be used for due diligence when a new symptom (lump or focal pain) develops in the breast tissue.

When viewed on a mammogram, breast tissue appears white and opaque (nebula), while fatty tissue appears darker and translucent.

When Should a Mammogram Be Done?

Annual screening mammograms are recommended for all women from the age of 40. Women who do not have any breast-related signs or symptoms are also screened. If an abnormality is present or patients have a new symptom (a lump or focal pain), additional evaluation may be required. Further examination will reveal what these suspected abnormalities are.

What Percent of Women Who Have Had Mammography Have Risky Situations?

Potential abnormalities are found in 6 to 8 percent of women who get mammograms. This group undergoes different additional evaluations, which may include breast physical examination, diagnostic mammography, breast ultrasound or needle biopsy.After these additional evaluations are completed, it becomes clear what the abnormalities found on the mammogram are.

What Does an Abnormality Look Like on a Mammogram?

The possible abnormality on a mammogram may be called a nodule, mass, lump, density or deterioration: A mass (lump) with a smooth, well-defined border is usually benign. Ultrasound is necessary to see and identify the inside of a mass. If the mass contains fluid, it is called a cyst. A mass (lump) with irregular borders or a starburst appearance may be cancerous and a biopsy is usually recommended. Microcalcifications (small calcium deposits) are another type of abnormality. They can be classified as benign, suspicious, or uncertain. Most microcalcifications are benign. Depending on how the microcalcifications appear in additional studies (magnification views), a biopsy may be recommended.

What is the Accuracy Rate of Mammography?

Diagnoses made by mammography are between 85 percent and 90 percent accurate. Mammograms can detect breast abnormalities before they are large enough to be felt. However, a palpable mass may not be seen on a mammogram. Any abnormality you feel while examining your breasts should be evaluated by your doctor.

What Should Be Considered Before Mammography?

You can follow your normal routine before the mammogram. You can take your medications and maintain your eating and drinking patterns. If you are breastfeeding, pregnant or think you may be pregnant, you should tell your doctor as your mammogram may need to be postponed.

What Should I Pay Attention to When Coming to My Mammography Appointment?

The technician will ask you to remove one breast from your bib at a time and place it on the chest support plate. The image of the breast is taken by clamping it between two plates. In the meantime, pressure is applied to the breast, preventing the breast from moving. This pressure spreads the breast tissue, allowing the radiologist to see the tissue better. Also, the least amount of radiation is used when the breast is compressed as finely as possible. You may feel some discomfort during 3-5 seconds of pressure. If you cannot tolerate the pressure, please let the technician know. Pressure can be more bothersome at some times in a woman’s menstrual cycle. To minimize discomfort, we recommend scheduling your appointment seven to 10 days after the start of your period.

How is a Mammogram Taken?

The technician will ask you to remove one breast from your bib at a time and place it on the chest support plate. The image of the breast is taken by clamping it between two plates. In the meantime, pressure is applied to the breast, preventing the breast from moving. This pressure spreads the breast tissue, allowing the radiologist to see the tissue better. Also, the least amount of radiation is used when the breast is compressed as finely as possible. You may feel some discomfort during 3-5 seconds of pressure. If you cannot tolerate the pressure, please let the technician know. Pressure can be more bothersome at some times in a woman’s menstrual cycle. To minimize discomfort, we recommend scheduling your appointment seven to 10 days after the start of your period.

How Does the Process Proceed After Mammography?

There may be temporary skin discoloration and/or mild pain in the chest due to compression. Most women will be able to resume their normal activities soon after their mammogram. Your results will be available within a few days after the test. After getting the results, your doctor will explain everything to you.

How Often Should You Have a Mammogram?

Regular mammograms every year, starting at the age of 40, will enable you to recognize potential risks early.

What Does the Breast Health Package Consist of?

Breast health package consists of General Surgery Examination and Mammography

Vaginoplasty

Vaginoplasty is a procedure to repair the vagina. It treats a variety of medical issues, including vaginal enlargements from childbirth and complications of pelvic floor disease.

What is done during vaginoplasty?

The details of the procedure vary depending on your goals and medical needs. The vagina is reconstructed using various surgical techniques.

Who needs vaginoplasty?

  • - Those seeking removal of postpartum enlargement or trauma damage to improve sexual function.
  • - Women who need vaginal reconstruction after vaginal exposure to radiation or excision to treat cancer or other conditions.
  • - Women who have congenital abnormalities (problems from birth) that affect the development of the vagina.

What is the difference between vaginoplasty and other vaginal operations?

  • Vaginoplasty is a surgical procedure to improve the appearance or function of the vagina.Other vaginal procedures:
    •  - Labiaplasty operation that equalizes or shrinks the labia.
    •  - A vulvoplasty operation that reshapes the outer part of the vagina.

What is done before vaginoplasty?

  • Before the surgery decision, your doctor will perform your physical examination to evaluate your suitability for the operation. During this physical examination, you are expected to provide information about your medical history and general health status.Your doctor will inform you about the risks, benefits and post-operative care requirements of the operation. Listening to your doctor's suggestions and recommendations will reduce the risk of complications.

What is the content of the procedure in women with postpartum deformation?

  • In operations performed to correct deformations occurring during childbirth
    • - Excess skin is removed,
    • - Distorted anatomical lines are repaired,
    • - It is ensured that the vaginal opening is reduced.

What is the content of vaginoplasty to repair congenital (birth) defects?

    • - A functional vagina can be created.
    • - Excess tissue or abnormal structures are removed.
    • - The structures that cause blood to accumulate in the vagina during menstruation are repaired.

Risks / Benefits

    • Possible risks of vaginoplasty surgery:
      • - Dyspareunia (painful intercourse).
      • - It can be summarized as numbness or loss of sensation (usually temporary).
      In contrast, the benefits after surgery are:
      • - There will be increased sexual satisfaction and self-confidence.

What is the recovery process like after vaginoplasty?

    • Recovery can take from a few weeks to several months, depending on the extent of the surgery. Your doctor and team will provide you with all the necessary information about post-operative care after vaginoplasty.

How are the controls planned after vaginoplasty?

    • Keeping in touch with your doctor after the surgery and not interrupting your controls will speed up your recovery process and minimize the risk of complications.
Aesthetic nose surgery (rhinoplasty) or nose reshaping surgery is the most commonly applied plastic surgery. With aesthetic nose surgery, it is possible to reduce or enlarge your nose, change the shape of the tip or bridge of the nose, narrow the width of your nostrils or change the angle between your nose and upper lip. At the same time, if you have a congenital or injury-related deformity, it can be corrected or some breathing problems can be eliminated.
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Antalya Yaşam Hospital, Kemer Yaşam Hospital, ASV Yaşam Hospital, Opera Yaşam Hospital, Alanya Yaşam Hospital, Manavgat Yaşam Hospital