Plastic Surgeon
Dr. Ogan Plastic Surgery Clinic provides his patients with personalized treatments, taking into consideration one's unique anatomical structure, medical history, medications, lifestyle, and expectations.
Asked By: GirlOnEarth
ANSWER
There is a treatment approach that I believe would be very well suited to your concerns and expectations. Looking at your photograph, I can see some laxity in the lower face, particularly around the lower cheeks, which is affecting the definition of your jawline. However, since you do not have significant or advanced jowling, I believe a less aggressive approach would be more appropriate. In your case, I would recommend a lower facelift with SMAS plication. This technique would allow us to tighten the lower facial tissues and create the subtle, natural backward lifting effect you are looking for, while preserving the fullness of your cheekbones and midface. Although we perform deep-plane facelift and neck lift procedures extensively at our clinic, I believe that such an extensive procedure would be unnecessarily aggressive for your current concerns. A SMAS plication lower facelift would preserve the natural volume of your cheeks while addressing the laxity along your lower face and improving jawline definition. In my opinion, this is the approach that most closely matches your expectations and aesthetic goals. Make the recommendation sound more personal
Asked By: madisonvvvl
ANSWER
In most breast reduction procedures, excess, sagging, and loose breast tissue is removed, while a breast lift is also performed to reshape and elevate the breast and nipple-areola complex. I would therefore assume that your original surgery included a lifting component. However, it is important to understand that breast implants generally provide a firmer consistency than natural breast tissue. For this reason, even if you receive implants with a volume equivalent to the amount of tissue removed (approximately 400–425 cc per breast), the result may look different from your pre-reduction breasts. In particular, your breasts are likely to have a firmer, fuller, and more elevated appearance than they did before surgery. That said, achieving your desired result depends on several important factors, including the implant profile, shape, placement plane, and surface characteristics. The relationship between grams of removed breast tissue and cc of implant volume is not a direct one-to-one correlation, so implant selection should be based on your current breast anatomy and desired outcome rather than volume alone.
Asked By: Sad skin
ANSWER
Hello Sad skin Fat transfer is a technique that results are permanent and temporary. What i mean by that is usually %40-60 of fat that is being transferred will be permanent and rest of it will be resorbed within 3-6 months. There are some adjustable and non-adjustable factors that effect how much fat will remain and how much will be resorbed. Blood circulation increasing factors such as quiting smoking will effect positively. About the technique; less traumatic harvested, purified and multilevel implanted grafts are more likely to survive and increase the permanent fat rate Best Regards Onur Ogan, MDFEBOPRASAntalya/TURKEY
Asked By: sedegreeff
ANSWER
Hello sedegreeff Both colleagues suggested different approaches which are both reasonable. I would like to inform you about another option. Polyurethane sheet covered silicone implants do not conclude with capsular contraction which are one of the best options in secondary cases like yours. Those implants are also very strongly attached where they are implanted and resistant against gravity. I suggest you to consider this option additionally. Best Regards Onur Ogan MD, FEBOPRAS
Asked By: Kind468184
ANSWER
Hello Kind468184 I believe implants settled in different levels under muscle. Sometimes implants may be trapped at lower portion by lowest fibers of muscle and pushed higher this results with asymetrical implant locations. Once implant is trapped by muscle, due to contraction it is common to see implants moving to lateral side. I guess this is your case. There are different solutions to correct this situation. If you are happy with your implants you can keep them and muscle can be release where there is trapment and lateral side of the pouch should be coled with help of strong stitches. Other choice is changing implant with polyurethane covered implants which are very strongly attached to where they are implanted(in correct location). Best regards Onur Ogan MD,FEBOPRAS
Asked By: lvr1996
ANSWER
Hello lvr1996 I would like to inform you that scar healing process takes nearly 12 months after any surgical intervention. Staying away from smoking, avoiding direct sunlight exposure to scars and using SPF50+ will also increase your scar quality. I suggest you to be patient and obviously you are using scar recovery gel which is good. Best regardsOnur OGAN MDPlastic Surgeon,FEBOPRASAntalya, TURKEY
Asked By: samii699
ANSWER
Hello samii699 This surgery can be performed with high skilled anesthesiologyst team assistance. The can provide sensational regional block for breast and this can be combined with local and twilight anesthesia and you can still have surgery while you are awake and painless. This procedure can be done if the patient is looking to have breast augmentation with implants over the muscle. Overnight hospital stay is recommended for follow-up. Best RegardsOnur OGAN MDPlastic Surgeon, FEBOPRASAntalya/ TURKEY
Asked By: andreeamax
ANSWER
Hello andreeamax There are various techniques to perform midface lift. Temporal hairline incision, temporal inside hair incision, subciliar incision(insicion below eyelashes of lower eyelid), intraoral incisions are most common incisions. Most of surgeons combine more than 1 incision to get best results. My main approach is using temporal incision inside hairline 3 cm and intraoral 1.5 cm incision. Of course lower eyelid corrections can be made using subciliary incision if necessary. Best Regards Onur OGAN, MDPlastic Surgeon, FEBOPRASAntalya/TURKEY
Asked By: Easygoing467984
ANSWER
Hello Easygoing467984 I believe you are experiencing waterfall deformity. There are 2 ways to solve this issue. First, is releaseing muscle that is holding the implant like a hammock in high position on the chestwall. This procedure can be performed using your old scar however in long term you will lose the benefit of having implants under muscle because muscle will not be able to hold implants in their high position. Second, you can keep your implants intact while having a lollipop or anchor scar breast lifting. This choice will come up with additional scars on the other hand you can have high positioned full appearance breasts. Both approach have pros and cons. I suggest you to discuss options with your doctor. Best Regards Onur Ogan MD Plastic Surgeon, FEBOPRAS
Asked By: mainemom
ANSWER
Hello mainemomIt is obvious your implants are located on good, high position on your chestwall. However breast tissue looks sagging over the implant which is called waterfall deformity. this can be corrected with or without implant excange with breast lifting again. It is also possible to correct the dent at the breast fold with this procedure. Best Regard Onur Ogan MDPlastic Surgeon, FEBOPRAS
dr. onur ogan is highly regarded for his exceptional surgical skills and patient care. patients consistently praise his professionalism, expertise, and ability to deliver natural-looking results in . his calm demeanor, thorough explanations, and attentive aftercare contribute to a positive patient experience, with many patients expressing high satisfaction and recommending him to others.
