Plastic, Reconstructive and Aesthetic Surgery

Adalia HealtCare offers a high standard medical service on  Plastic, Reconstructive and Aesthetic Surgery performed by 

Prof  Omer Ozkan, MD

Plastic and Reconstructive Surgeon
from Antalya Akdeniz University Faculty of Medicine

Born in 1971 Omer Ozkan  graduated in the Faculty of Medicine at the  Ankara Hacettepe University in 1995, he completed his special studies in plastic and reconstructive surgery between 1995 and 2001 at the same university.

Omer Ozkan served in 2004 as a research fellow at the Tokyo University in Japan in perforator flap and super microsurgery and later at the I-Shou University in Kaohsiung, Republic of China (Taiwan) in plastic surgery and hand surgery for a period of six months each. In 2006, he spent three months at the Bogenhausen Clinic of the Munich Technical University, Germany on a fellowship granted by the European Association of Plastic Surgeons (EURAPS).

Prof Omer Ozkan is currently the head of   Antalya  Akdeniz University’s Institute of  Plastic, Reconstructive and Aesthetic Surgery. His scientific field covers aesthetic surgery for face and body, breast reconstruction, tissue engineering, facial muscles reconstruction at facial nerve paralysis, jaw reconstruction and urogenital surgery. 

Prof Omer Ozkan is regarded  today for his achievements as one  of the most distingushed  surgeons worldwide  in  plastic surgery , organ and tissue transplantation  circles .

Achievements

Prof  Ozkan and his team performed a uterus transplant on August 9, 2011 to 21-years-old  Derya Sert  This is a first-ever operation in the world  with an organ taken from a cadaver. She lacked womb from the birth. This is the first  in the world  in  its kind  because former transplants were carried out by using organs from living donors. The patient was implanted in August 2012 with an embryo, which was previously fertilized and kept frozen, to give birth to a test-tube baby in May 2013. 

On September 25, 2010, two arms of 23-years-old young man, who died in a motorcycle accident  were succesfuly transplanted  to Cihan Topal (29). Topal lost in 2008 his both arms below elbow as the corn harvester caught his upper limbs.

On January 21, 2012,  Prof Omer Ozkan and his team successfully performed two important transplants simultaneously at the Akdeniz University Hospital, a full face transplant and a multiple limb transplant, both for the first time in Turkey. The 19-year-old marble worker Ugur Acar’s face was badly burnt by a toppled oven at home when he was a 40-day-old baby.

The second transplant was simultaneously carried out in another operating room on Atilla Kavdır, who at the age of eleven had lost both his arms and one leg following an electric shock as he contacted overhead lines while trying to chase away birds with a metal stick.To him double arm and one leg were transplanted simultaneously. His transplanted right leg had to be amputated, however, one day later due to capillary immunity complication.

On May 16, 2012, Prof Ozkan performed with his team country’s fourth face and their second full face transplant. The face and ears of the 27-year old patient Turan Colak from Izmir was burnt as he fell into an oven when he was three and half years old.

Awards

• 2002 “Junior Basic Science Prize” at the Scientific Essay Contest, Plastic Surgery Educational Foundation (PSEF).

Prof. Omer Ozkan  and his Transplant  Surgery Team

All interventions and operations are performed in the best equipped , JCI approved hospitals in Antalya which closely and exclusively associate with Adalia HealtCare.

Related links:

• AFP: Turkish womb transplant promises hope for women – Google
• Teenage face transplant patient shaves for first time since

A brief information about Plastic and Reconstructive Surgery

Plastic surgery is a medical specialty concerned with the correction or restoration of form and function. Though cosmetic or aesthetic surgery is the best-known kind of plastic surgery, most plastic surgery is not cosmetic plastic surgery includes many types of reconstructive surgery, hand surgery, microsurgery, and the treatment of burns.

Techniques and procedures

In plastic surgery, the transfer of skin tissue (skin grafting) is a very common procedure. Skin grafts can be taken from the recipient or donors:

• Autografts are taken from the recipient. If absent or deficient of natural tissue, alternatives can be cultured sheets of epithelial cellsin vitro orsynthetic compounds, such as integra  which consists of silicone and bovine tendon collagen with glycosaminoglycans.
• Allografts are taken from a donor of the same species.
• Xenografts are taken from a donor of a different species.

Reconstructive surgery

Reconstructive plastic surgery is performed to correct functional impairments caused by burns; traumatic injuries, such as facial bone fractures and breaks; congenital abnormalities, such as cleft palates or cleft lips; developmental abnormalities; infection and disease; and cancer or tumors. Reconstructive plastic surgery is usually performed to improve function, but it may be done to approximate a normal appearance.

The most common reconstructive procedures are tumor removal, laceration repair, scar repair, hand surgery, and breast reduction.  Some other common reconstructive surgical procedures include breast reconstruction after a mastectomy, cleft lip and palate surgery, contracture surgery for burn survivors, and creating a new outer ear when one is congenitally absent.

Plastic surgeons use microsurgery to transfer tissue for coverage of a defect when no local tissue is available. Free flaps of skin, muscle, bone, fat, or a combination may be removed from the body, moved to another site on the body, and reconnected to a blood supply by suturing arteries and veins as small as 1 to 2 millimeters in diameter.

Cosmetic surgery

Aesthetic plastic surgery, also called Medical aesthetics, involves techniques intended for the “enhancement” of appearance through surgical and medical techniques, and is specifically concerned with maintaining normal appearance, restoring it, or enhancing it beyond the average level toward some aesthetic ideal.

The five most common surgeries being breast augmentation, liposuction, nasal surgery, eyelid surgery and abdominoplasty.  Most of the cosmetic procedues  are surgical, such as rhinoplasty or facelift. The nonsurgical procedures include Botox and laser hair removal.

The most prevalent aesthetic/cosmetic procedures include:

• Abdominoplasty (“tummy tuck“): reshaping and firming of the abdomen
• Blepharoplasty (“eyelid surgery”): reshaping of the eyelids or the application of permanent eyeliner.
• Phalloplasty (“penile liposuction”) : construction (or reconstruction) of a penis or, sometimes, artificial modification of the penis by surgery, often for cosmetic purposes
• Mammoplasty:
  • Breast augmentations(“breast implant” or “boob job”): augmentation of the breasts by means of fat grafting, saline, or silicone gel prosthetics, which was initially performed to women with micromastia
  • Reduction mammoplasty(“breast reduction”): removal of skin and glandular tissue, which is done to reduce back and shoulder pain in women with gigantomastia and/or for psychological benefit men with gynecomastia
  • Mastopexy (“breast lift”): Lifting or reshaping of breasts to make them less saggy, often after weight loss (after a pregnancy, for example). It involves removal of breast skin as opposed to glandular tissue
• Buttock augmentation(“butt implant”): enhancement of the buttocksusing silicone implants or fat grafting (“Brazilian butt lift”) and transfer from other areas of the body
  • Buttock lift: lifting, and tightening of the buttocks by excision of redundant skin
• Chemical peel: minimizing the appearance of acne, chicken pox, and other scars as well as wrinkles (depending on concentration and type of agent used, except for deep furrows), solar lentigines (age spots, freckles), and photodamage in general. Chemical peels commonly involve carbolic acid (Phenol), trichloroacetic acid (TCA), glycolic acid (AHA), or salicylic acid (BHA) as the active agent.
• Labiaplasty: surgical reduction and reshaping of the labia
• Lip enhancement: surgical improvement of lips’ fullness through enlargement
• Rhinoplasty (“nose job”): reshaping of the nose
• Otoplasty (“ear surgery”/”ear pinning”): reshaping of the ear, most often done by pinning the protruding ear closer to the head.
• Rhytidectomy (“face lift”):removal of wrinkles and signs of aging from the face
  • Browplasty (“brow lift” or “forehead lift“): elevates eyebrows, smooths forehead skin
  • Midface lift(“cheek lift”): tightening of the cheeks
• Chin augmentation(“chin implant”): augmentation of the chin with an implant, usually silicone, by sliding genioplasty of the jawbone or by suture of the soft tissue
• Cheek augmentation(“cheek implant”): implants to the cheek
• Orthognathic Surgery: manipulation of the facial bones through controlled fracturing
• Fillers injections: collagen, fat, and other tissue filler injections, such as hyaluronic acid
• Laser Skin Rejuvenation or Resurfacing:The lessening of depth in pores of the face
• Liposuction (“suction lipectomy”): removal of fat deposits by traditional suction technique or ultrasonic energy to aid fat removal
• Brachioplasty (“Arm lift”): reducing excess skin and fat between the underarm and the elbow

Sub-specialties

Plastic surgery is a broad field, and may be subdivided further. Plastic surgery training and approval by Boards of Plastic Surgery include mastery of the following as well:

Burn

Burn surgery generally takes place in two phases. Acute burn surgery is the treatment immediately after a burn. Reconstructive burn surgery takes place after the burn wounds have healed.

Cosmetic

Aesthetic surgery is an essential component of plastic surgery. Plastic surgeons use cosmetic surgical principles in all reconstructive surgical procedures as well as isolated operations to improve overall appearance.

Craniofacial

Craniofacial surgery is divided into pediatric and adult craniofacial surgery. Pediatric craniofacial surgery mostly revolves around the treatment of congenital anomalies of the craniofacial skeleton and soft tissues, such as cleft lip and palate, craniosynostosis, and pediatric fractures. Adult craniofacial surgery deals mostly with fractures and secondary surgeries (such as orbital reconstruction) along with orthognathic surgery. Craniofacial surgery is an important part of all plastic surgery training programs, further training and subspecialisation is obtained via a craniofacial fellowship.

Hand

Hand surgery is concerned with acute injuries and chronic diseases of the hand and wrist, correction of congenital malformations of the upper extremities, and peripheral nerve problems (such as brachial plexus injuries or carpal tunnel syndrome). Hand surgery is an important part of training in plastic surgery, as well as microsurgery, which is necessary to replant an amputated extremity. The Hand surgery field is also practiced by orthopedic surgeons and general surgeons. Scar tissue formation after surgery can be problematic on the delicate hand, causing loss of dexterity and digit function if severe enough.

Microsurgery

Microsurgery is generally concerned with the reconstruction of missing tissues by transferring a piece of tissue to the reconstruction site and reconnecting blood vessels. Popular subspecialty areas are breast reconstruction, head and neck reconstruction, hand surgery/replantation, and brachial plexus surgery.

Pediatric

Children often face medical issues very different from the experiences of an adult patient. Many birth defects or syndromes present at birth are best treated in childhood, and pediatric plastic surgeons specialize in treating these conditions in children. Conditions commonly treated by pediatric plastic surgeons include craniofacial anomalies, cleft lip and palate and congenital hand deformities.