Plastic surgery offers numerous alternatives to make your face even more beatiful and overcome the problems that arise for various reasons. Plastic surgery provides an appropriate treatment option for all issues including facial volume deficiencies, wrinkles and dark circles under eyes. Even through customized options which do not require surgery… Plastic, Reconstructive and Aesthetic Surgery Doç. Dr. İsmail Küçüker, explained the lastes applications that provide a well-groomed and younger look.

Which skin problems do you encounter most frequently?

The rejuvenation of the skin decelerates after mid-thirties. Over the years, collagen and elastin fibers of the skin begin to wear off, and the amount of hyaluronic acid in the skin start to decrease. Ageing starts as the amount of hyaluronic acid, which is necessary to keep the skin tight and the joints mobile, starts to decrease. Hyaluronic acid is an essential building block for the skin which is generated within the body, and it can be obtained from many foods. However, medical researches have shown that the dietary intake of hyaluronic acid is not enough.

So, which applications are employed to overcome this problem?

It is possible to introduce a sufficient amount of hyaluronic acid to the skin externally. This substance lubricates the joints and is able to retain water thousand-fold its volume. It maintains its shape at the spot it is injected for a long time. We apply it through filling and mesotherapy. It provides an immediately visible effect.

What difference does the hyaluronic acid make?

Hyaluronic acid is a polysaccharide native for human body and many creatures. 50% of the hyaluronic acid produced by the human body is present in epidermis. It is currently the most- preferred filling material due to very few side effects, homogeneous dispersibility and dischargeability from the body. Produced in line with an unerring balance of patented “resilient” hyaluronic acid, fillings provide advantages such as a suitable viscoelastic profile, minimal pressure on tissues, optimal spread and controlled positioning, and easy injection into narrow sites.

Over the years, the face starts to lose its volume as it cannot resist the effects of gravity. What are you recommendations to resume the original form of the face?

Over the years, the collagen and elastin fibers in our skin wear off and the amount of hyaluronic acid decrease. Hence, we ex- perience volume losses at certain areas of our faces. As a result, prolapses in the skin due to wrinkles and loss of elasticity may occur. Custom designed fillers for certain areas may be used as a so- lution. We perform applications with Teosyal Ultimate, Ultra Deep and Global Action filler types in our patients who sufferfrom facial volume loss. Particularly, Ultimate is a good solution for loss of elasticity and fatty tissue that carry the face. This filler which is custom designed for reshaping faces with a high level of deformation provide volume to sucutane- ous tissues, allowing the cheeks, the zygoma area, the face oval and the chin area gain volume. Thereby, it has an immediate correc- tive effect on dermal deformations, bringing about visible differences in facial symmetry. İt provides spectacular results with its capacity of generating volume and enables the face to be reshaped perfectly.

Well then, in what other situations are face lifting procedures employed?

If you have flat or sunken cheek structure, or sagging cheeks, the filler injection would be useful. While cheekbones are rendered more protruding, face lifting surgery may also be necessary if the patient has sagging cheeks. Depending on th structure of cheekbones and the status of the cheeks, either one or both of these techniques in combination may be applied.

Would you inform us on lip filling which has become quite popular in recent years?

Kiss Lip Filler is widely apllied in making lips fuller, in reshaping and making clearer contours. Moreover, it is preferred in treating asymmetries, sagging lip corners, and for the correction of upper lip barcode lines. Owing to its high cruciate ligament content, which is designed specially for the treatment of sensitive areas around the lips, it is a painless technical procedure that is fault tolerant and much more long-lasting. Since lips are highly vascular and mobile, they react more natu- rally to custom designed hyaluronic acid in filling operations. In order restore the volume of the lips, hyaluronic acid which contain vitamins must be used. Hyaluronic acid is a polysaccharide native for human body and many creatures. That is why its safety profile is much higher than other synthetic filling materials. This agent plays a major role in cell growth. Therefore, it keeps its form intact for a long time wherever it is injected to. Kiss Lip Filler provides a cohesive outcome for the entire mouth (red lips and contours). You may redraw lip contours, increase their volumes, reshape lip corners by filling and ensure them to get moistened.

What do you recommend to regain the overall volume and glow of the face?

Powered by a special content, Teosyal Light Filling is a method of mesotherapy dedicated to skin moisturizing, antioxidant protection, cell renewal and skin restructuring. It helps to make face, neck, the top of hands and cleavage look younger, renovated and renewed. What differs the light filling from other filling materials is the pored content. This content is comprised of patented hyaluronic acid and restructuring complex (8 amino acids, 3 antioxidants, 2 minerals and 1 vitamin). Amino acids, vitamin and minerals ensure skin protection as well as restructuring and cell renewal. As a conclusion, the light filling increases skin moisture and elasticity, making sure skin is freshened, glowing, tighten and restoring its original form. The durability of Light Filler is around 6-to-8 months. İt must be reapplied at the end of this period. Its durability will increase in reapplications. The impact of Suborbital Light Filler, which is applied to rejuvenate the orbital area and to treat rings and dark circles, last around 12-to-18 months.3 sessions in every 3 weeks are recommended for Light Filler. Visible results are obtained even in the first session.

Would you inform us on non-surgical applications in the treatment of dark circles below the eyes?

Under-Eye Light Filling is administered as a first of its kind in the world since it is the sole method developed peculiar to under eyes in order to eliminate or relieve problems under eyes, and it makes a difference in many aspects. In addition to cross-linked and semi cross-linked patented “resilient” hyaluronic acid, it is a unique filling that contains 8 amino acids, 3 antioxidants, zinc, copper and vitamin B6 to restructure skin, and provide anesthesia for the area of application, boost patient com- fort and facilitate the procedure. It is administered particularly for people with under-eye dark circles, apparent concave dips and hol- lows while it helps to restructure under-eye tissues and makes the supraorbital area look younger. The impact of Suborbital Light Filler, which is applied to rejuvenate the orbital area and to treat rings and dark circles, last around i2-to-ı8 months. 3 sessions in every 3 weeks are recommended for Light Filler. Visible results are obtained even in the first session. Usually, a single session is enough for Suborbital Light Filler. Yet, a refinement may be necessary in a small proportion of patients.

FINALLY, WHEN SHOULD WE START RESORTING TO AESTHETIC APPLICATIONS?

Everybody asks this question. It is important to start at a very early age. The most important thing we should do in the chidlhood period is to protect ourselves from the Sun and to use sunblock. For the most important trigger of ageing is solar exposure from childhood onwards. Throughout our lifetimes, we are exposed 80 percent of sunlight during our childhoods as we spend a lot of time outdoors. We must protect ourselves from such exposure. The effects of sunlight may appear 20-30 years later; hence, it is utterly important to be protected. Especially, the occurrence of mimic lines on the forehead with age can be prevented by botulinum toxin therapy. In my opinion, we may start using botulinum toxin at an early age; I mean, when such lines have not yet occurred. When we initiate the application before the lines occur, it has a long-term effect, which delays their occurrence. Fillings, in turn, may be applied when the individual is in her late thirties. For our cheeks start sagging and need to be supported with fillers.