Dr Usal



   




Dr. Usal is affiliated with
Bella Tu MedSpa where he treats
patients for laser and non-invasive
facial and skin rejuvenation.
He provides Botox and filler injections with Juvéderm, Perlane, Restylane,
and Radiesse.




To get the most benefit from you body enhancement surgery, Dr. Usal recommends MDFatLoss.com's program directed by Dr. Ohan Karatoprak, before and after your surgery. Read more …

 

Istanbul, Turkey
Dr. Usal and Dr. Teoman Dal perform plastic surgery together in Turkey.

 

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breast reconstruction

Breast reconstruction is a highly individualized procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Breast reconstruction is a good option for you if:

  • You are able to cope well with your diagnosis and treatment
  • You do not have additional medical conditions or other illnesses that may impair healing
  • You have a positive outlook and realistic goals for restoring your breast and body image

Breast reconstruction typically involves several procedures performed in multiple stages. It can:
  • Begin at the same time as mastectomy, or
  • Be delayed until you heal from mastectomy and recover from any additional cancer treatments

What to Expect During Your Consultation?


The success and safety of your breast reconstruction procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and lifestyle.
Be prepared to discuss the following:

  • Why you want the surgery, your expectations and desired outcome
  • Medical conditions, drug allergies and medical treatments
  • Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
  • Previous surgeries
  • The options available in breast reconstruction surgery
  • The likely outcomes of breast reconstruction and any risks or potential complications
  • The course of treatment recommended by your plastic surgeon, including procedures to achieve breast symmetry
What is Breast Reconstruction?


Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.

Although breast reconstruction can rebuild your breast, the results are highly variable:

  • A reconstructed breast will not have the same sensation and feel as the breast it replaces
  • Visible incision lines will always be present on the breast, whether from reconstruction or mastectomy
  • Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks

Important Facts About the Safety and Risks of Breast Reconstruction


The decision to have breast reconstruction surgery is extremely personal. You’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedures you will undergo and any risks or potential complications.

The possible risks of breast reconstruction include, but are not limited to, bleeding, infection, poor healing of incisions, and anesthesia risks. You should also know that:

  • Flap surgery includes the risk of partial or complete loss of the flap and a loss of sensation at both the donor and reconstruction site
  • The use of implants carries the risk of breast firmness (capsular contracture) and implant rupture
Anesthesia


Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

    Flap Technique


    Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. The use of a breast implant for reconstruction almost always requires either a flap technique or tissue expansion.

    A TRAM flap uses donor muscle, fat and skin from a woman’s abdomen to reconstruct the breast. The flap may either remain attached to the original blood supply and be tunneled up through the chest wall, or be completely detached, and formed into a breast mound

    Alternatively, your surgeon may choose the DIEP or SGAP flap techniques which do not use muscle but transport tissue to the chest from the abdomen or buttock.

    A latissimus dorsi flap uses muscle, fat and skin from the back tunneled to the mastectomy site and remains attached to its donor site, leaving blood supply intact.

    Occasionally, the flap can reconstruct a complete breast mound, but often provides the muscle and tissue necessary to cover and support a breast implant.

    Tissue Expansion


    Reconstruction with tissue expansion allows an easier recovery than flap procedures, but it is a more lengthy reconstruction process.

    It requires many office visits over 4-6 months after placement of the expander to slowly fill the device through an internal valve to expand the skin.

    A second surgical procedure will be needed to replace the expander if it is not designed to serve as a permanent implant.

    Breast Implant


    A breast implant can be an addition or alternative to flap techniques. Saline and silicone implants are available for reconstruction.

    Your surgeon will help you decide what is best for you. Reconstruction with an implant alone usually requires tissue expansion

    Breast Reconstruction Results


    The final results of breast reconstruction following mastectomy can help lessen the physical and emotional impact of mastectomy.

    Over time, some breast sensation may return, and scar lines will improve, although they’ll never disappear completely.

    There are trade-offs, but most women feel these are small compared to the large improvement in their quality of life and the ability to look and feel whole.

    Careful monitoring of breast health through self-exam, mammography and other diagnostic techniques is essential to your long-term health.

    When You Go Home


    If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

    The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

    Be Careful


    Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

    View our breast reconstruction before and after gallery.  
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