Dr.Burcak Tumerdem جراحة التجميل الدكتورة بورتشاك تومردام اولو في اسطنبول تركيا

الأستاذة الدكتورة بورجاك تومردام  Burcak Tumerdem

التخصص الطبي : الجراحات التجميلية.

السيرة الذاتية :

  • تخرجت دكتور بورجاك تومردان من كلية الطب جامعة إسطنبول عام 1995، وهي الآن أستاذ مشارك بالكلية.
  • أكملت التدريب المتخصص في الجراحة من عام 1997 إلى 2003 في الكلية نفسها، ومنحت لها خبرة أطروحة بالجائزة الثالثة عن غرفة إسطنبول للأطباء عام 2003.
  • تم تعيين د. بورجاك بدرجة أستاذ مشارك ومراقب في منظمة بوسطن مستشفى كلية الطب Ulug في جامعة هارفارد، مدرسة مساتشوستس العام مع د. جيمس دبليو مايو، وفي معهد الجراحة التجميلية للجمجمة في مستشفى جاكسون T، التابع لــ بروفيدانس مع د. إيان ديترويت عام 2001.
  • كما كانت على درجة مراقب أيضا في منظمة Marchac (ماغشاك – الفرنسية)، في هوبيتال نيكر مع د. دانيال في باريس عام 2003.
  • قامت بالعديد من الخدمات كأستاذ مشارك وبصفتها عضو هيئة التدريس من كلية مالتيب الطبية، قسم جراحات التجميل، والجراحات الترميميّة، والجراحات البلاستيكية، من عام 2004 إلى عام 2014 وأخذت لقب (Associate Professor) بروفيسور مشارك في عام 2010.
  • د. بورجاك بما أنها أستاذ مشارك من الأساتذة الدوليين، فهى من بين 17 أستاذا مشاركا (بروفيسور) وطني في تركيا، ولها مجموعة مؤلفات علمية، وقرابة 45 مقالة علمية، بالإضافة إلى ذلك فهي المؤلف المشارك للكتاب الدولي بعنوان (تصغير الثدي وتثبيته)، من قبل رئيس التحرير د. ميلفين Shiffman شيفمان.
  • عضو في الجمعية التركية للجراحة البلاستيكية الترميمية وجراحات التجميل، وعضو أيضا في الجمعية التركية الترميمية المجهرية لجراحات التجميل.
prof._dr._burçak_tümerdem_uluğ Burcak Tumerdem Ulug, MD is a consultant of Plastic Reconstructive and Aesthetic surgery.
Dr. Tumerdem Ulug was graduated from Istanbul University, Istanbul Faculty of Medicine as the top of the student in1995. She completed the residency programme between 1997 and 2003 at the Plastic Reconstructive and Aesthetic Surgery department of the same faculty. Her dissertation thesis was awarded with third degree in “Cengiz Cetin, MD – Resident Thesis Competition” organized by Istanbul Medical Association, in 2003.
Tumerdem Ulug conducted observership at Harley Clinic, London, under the supervision of Basim A. Matti in 1999; at Harvard Medical School/Massachusetts General Hospital, Boston, under the supervision of James W. May in 2001; at Institute for Craniofacial and Reconstructive Surgery affiliated with Providence Hospital, Detroit, under the supervision of Ian T. Jackson in 2001; and at L’Hopital Necker, Paris, under the supervision of Daniel Marchac in 2003, for varying durations.
Dr. Tumerdem Ulug served as an academic member at Plastic Reconstructive and Aesthetic Surgery Department of Maltepe University, Faculty of Medicine, Istanbul, between 2004-2012 and got her associated professor degree in 2010.
Tumerdem Ulug has 45 scientific manuscripts; 28 of which were published at international SCI / Pub Med indexed English journals. Additionally she took part as a chapter writer in the book titled “Mastopexy and Breast Reduction” published in 2009 under editorship of Melvin Shiffman.
She is a member of Turkish Society of Plastic Reconstructive and Aesthetic Surgery, Turkish Society of Reconstructive Microsurgery and Aesthetic Plastic Surgeon’s Society.
Burcak Tumerdem Ulug is married to Prof. Tuncay Ulug, and mother of 2 children. Dr. Tumerdem Ulug has been working privately since 2012.
What needs to be done before the surgery ما هو المطلوب القيام به قبل اجراء العملية 

Usage of aspirin and aspirin like anticoagulant drugs, anti-inflammatory drugs, nutritional supports like gingko biloba, ginseng, vitamin E and green tea must be discontinued one week before the surgery. Information about all medical problems like hypertension, diabetes, gastric illnesses (gastritis, reflux, ulcer) thyroidal function disorders (previous thyroid surgery, hypo/hyperthyroidism), regularly used drugs, allergies, being Hepatitis B, C or HIV carrier must be

shared. Individuals who will have general anesthesia and sedation must stop eating and drinking anything at least 6-8 hours before the time of surgery. Regularly used drugs can be taken with a very small amount of water within the knowledge of doctor. Individuals who will have local anesthesia can have a light and small meal, 3-4 hours before the operation. If there aren’t any medical problems, one day before the surgery or on the day of surgery, routine blood analysis and if necessary radiological analysis are done. Preparations for surgery are done under supervision of anesthetists. Usage of cigarettes increases complication rate because of its negative effects on tissue oxygenation and blood flow. Smokers must quit smoking at least 2 weeks before the surgery and shouldn’t smoke for 2-3 weeks after.
What is nasal aesthetics?
ماهي عملية تجميل الأنف
Nasal aesthetics is the general definition for the operations made to correct deformities of nose caused by past traumas or operations or appeared because of structural reasons. Nose is the structure that stands right at the middle of a face and the focus of unconscious first looks to the face. Therefore deformities of nose cause aesthetic concerns with or without presence of a disease. There are pre-ideal ratios for nose that are defined by doctors, but the important thing
about the decision is the person’s own expectations with the perspective of his/her doctor.

What is nasal deformity?  ما هو تشوه الانف 

Nasal deformity is the expression that is used by doctors for external nasal shape disorders. These shape disorders are originated from different parts of bone and cartilage structures. Humps on nose, longer nose, lower nose tips, wider nose flarings are most common aesthetic problems about nose.

What is deviation? ما هو انحراف الانف 

There is trouble of breathing on most of the patients who have nasal deformities. Healthy and normal breathing is provided through the nose. When the nose can’t do its job properly because of the internal curve called deviation and growth of chonchas called choncha hypertrophy, permanent nasal blockage appears and breathing is provided through the mouth. Deviation is the curve of the tissue called septum, which begins from the front and reaches until the nasal passage, dividing the internal nose to two sections. Septum is made of cartilage and bone structures covered by the internal skin called mucosa. Deviation can occur structurally or as a result of trauma. Localization, severity and number of these curves vary depending on the patient. Choncha growth is the tissue growth of chonchas and called choncha hypertrophy. Inferior chonchas are the biggest; they adjust the amount of air that will be inhaled by changing their own volume and heat the breathing air; they increase the rate of nasal blockage with the existence of a nasal deviation.

What is rhinoplasty? ما هي عملية تجميل الانف 

Rhinoplasty is the surgical operation that is made to correct deformities of cartilage and bone that cause nasal shape disorders. Each person has a different nasal shape and post-operational expectations are different likewise. Therefore there isn’t a standard procedure technique for nasal aesthetics. Skin, bone and cartilage structures are assessed separately on the evaluation of deformities. The patient’s facial shape and ratios are certainly considered with the patient’s expectations about his/her nose when the operation plan is being made. In rhinoplasty, different techniques such as hump resection (removal of the nasal hump), osteotomy (removal of a piece of nasal bone), alar cephalic resection (narrowing of nasal flaring), application of suturing techniques and placement of cartilage support (elevation and narrowing the nose tip) are used in variety of combinations.

What is a deviation surgery?
ما هي عملية جراحة الانحراف
In cases with nasal deformities; if internal curve disorder also exists, deviation correction surgery (septoplasty) is added to nasal aesthetic surgery plan (rhinoplasty). Doctors use the expression of septorhinoplasty to define this combined operation. In cases with choncha hypertrophy that plays role on nasal blockage, inferior chonchas are also interfered. To reduce inferior chonchas, techniques such as chonchaplasty, radio frequency and cauterization are used. Chonchaplasty operation is a classical surgical method that includes removal of excess tissue with condition of preserving the medial sides. Radio frequency is a general surgical procedure that is made by transmission of radio waves to the target tissue through a fine needle; this energy causes the tissue to shrink, become smaller and taut at the process of healing.

How is the postoperative phase?
كيف تتم مرحلة ما بعد الانحراف
A plaster and thin bandages are placed to nasal dorsum after rhinoplasty or septorhinoplasty. After surgery cold application is done around eyes. Intermittent cold application with classical methods with 10-15 min each hour lessens bruising and swelling. Patient is discharged the next day. Nasal plaster is removed at the end of the first week. Thin bandages can be kept for one more week if it seems necessary. Deviation correction surgery and choncha surgeries that are combined with rhinoplasty don’t have a much troubled postoperative phase. It is possible not to put anything inside of the nose if bilateral suture technique is used. But tampons that contains small pipes for breathing can be used for a day if necessary. Continue of cold application with declining periods of time for 1-2 days after discharge from a rhinoplasty surgery is beneficial. Mild bruises and swelling begins to decrease after 3rd day of surgery. At first weeks nose can be more swelled in mornings and swelling can reduce during the day. Most of the swelling meliorates after 6 weeks. But taking nose its final shape takes 1 year. Traumas to the nose at early stages of postoperative phase can result with permanent nasal shape deformities. Therefore contact based sports are unfavorable for the first 8 weeks. Exercises such as brisk walking and swimming can be done after 3rd week. If an operation is done for a nasal hump, usage of eyeglasses is not convenient. Again, intense sunlight, solarium, sauna and Turkish bath should be avoided for first 8 weeks. Especially it is important to use hat to avoid sunlight and high factored sun creams which is beneficial to prevent permanent color changes around eyes at the period of bruising. After early postoperative phase, controls are made at 3rd, 6th and 12th months. At most of the cases, patients achieve the desired nasal shape when some of the cases a second limited minor operation is necessary to achieve the optimal result.

meme_estetigi

What is breast aesthetics/ mammoplasty?

ما هي تقنية تجميل الثدي ؟

Breast aesthetics is a correction procedure for deformities of breasts, performed with a detailed analysis, good planning and suitable surgical techniques .

Who may have breast aesthetics?Breast aesthetics are applied to healthy women who have been completed their breast growth. Shape of breasts differ among the individuals and there can even be significant differences between the same person’s two breasts. Among congenital deformities; there are inadequate or no growth of breasts, excessive growth of breasts (gigantomastia), asymmetrical growth and nipple herniation (tuberous breasts).
Breast shape of a woman shows changes along her life. Gaining and loosing weight, pregnancy, breast-feeding, menopause and gravity are some of the reasons of such changes. Furthermore, trauma, burn and surgical operation such as removal of a tumor from breast can cause deformities.

What is liposuction/lipoplasty ?ما معنى شفط الدهون 

Liposuction/lipoplasty is a surgical procedure that improves the body contour and proportion by removing excess fat deposits to slim and reshape specific areas of the body. Suitable candidates for this surgery are young patients with good skin elasticity who are close to their ideal weight. Liposuction is not a solution for weight loss or treatment of cellulites. But patients are seen slimmer and skin regularities called cellulites reduce with improvement of local excess fat

deposits and reduction of subcutaneous fat tissue. Amount of fat cells is constant for adults. Weight gain doesn’t increase this amount but it increases fat storage in these cells. What determines the excess body shape is localization of large number of these cells to same area. Fat deposits are abdominal in pear-shaped bodies and around hips in apple-shaped bodies. Mainly in these areas fat deposits are resistant to diet and exercisize. The permanent solution for this excessiveness that impairs body contour is removal of these fat tissues. Fat cells are mainly removed with liposuction. Therefore, with the cases of postoperative weight gain, fat deposits can’t form as they were used to be.
Liposuction is mostly performed on abdomen, lateral sides of waist, hips, arms, legs, submandibular area, over knees and posterior side of knees. Reshaping and improvement of body shape and contour may also need fat injections as well as fat removal. The fat obtained from liposuction is processed and injected to certain areas of the body at the same session to achieve a more proportional body shape.How is a liposuction operation done?
ما الذي يتم فعله في عملية شفط الدهون
Liposuction is an aesthetic procedure that needs to be done at operational conditions in hospitals. It is performed under general anesthesia or local anesthesia and sedation depending on the wideness of the area and other concomitant operations. Local fat deposits that impair body contour are marked before the surgery. During the surgery these areas are injected with a special solution that prevents hemorrhaging and postsurgical pain. Fat tissue is vacuumed with thin cannulas inserted from 3-4 mm incisions that will be hidden in body curves. If fat injection is also be performed at the same session, fat is collected with a special injector system and prepared for injection There is no quantitative goal of fat removal. The main target is removal of excess fat tissue to achieve the desired body contour without causing any unwanted deformities of the skin.
After surgery patients are dressed with a special corset that puts pressure to liposuction sites. Patients are discharged the same day or next day with prescription for antibiotic and an analgesic.

How is the postoperational phase of liposuction?
ما هي المرحلة التي تلي عملية شفط الدهون
Patient is asked to use the corset for 4-6 weeks for its effects to improvement of the adaptation of skin at liposuction sites, healing speed and quality. The corset can be removed at nights after 2 weeks. Numbness, bruises, sensitivity and pain with contact reduces rapidly after 3 weeks. At first weeks, increase in body weight and not to fit in usual outfits are temporary expected conditions caused by edema due to surgery. Swellings reduce reasonably after 2 months. Body contour takes its final shape in 6 months to a year.

What is laser liposuction/ laser lipolysis?
ما هي عملية شفط الدهون بالفيزر
It is a procedure that is based on liquefying the excess fat tissue with laser energy by disintegrating fat cell membranes. The liquefied fat tissue can be left to be removed by lymph nodes or can be removed with a thin cannula depending on the laser technique used. Another effect of this surgery is the firming of skin by stimulating collagen synthesis. This way fat removal and skin tightening can be performed in one session.

karin_germe_abdominoplasti

What is an abdominoplasty / tummy tuck surgery? ما هي جراحة  الشد للبطن 

Abdominoplasty is a surgical operation that improves sagging and loosening of skin and subcutaneous tissues to achieve more flat and tight abdomen. In this surgery, excess tissue around umbilicus is removed and abdominal fascia that has been loosen because of previous pregnancies can be tightened. Stretch marks can be get rid of, if exist in removed excess tissue. Stretch marks over umbilicus become less visible due to tension. In some individuals, skin andsubcutaneous tissues expand to lateral sides of the waist and loosen; and waist gets thicker after mostly giving birth or rapid body weight loss. If this loosening is extreme, it causes pain in waist and the back, bad smelling, itching and rashes under skin curves especially at summer. It is a deformity that make a person’s social and private life difficult. These people prefer outfits that covers abdominal area. And it becomes harder to cover this area at summer.

How is an abdominoplasty done?
كيف تتم عملية شد البطن
Abdominoplasty is performed in operating conditions at hospitals under general anesthesia. Operation ends with a scar that runs along with the c-section scar and continues in inguinal region which is in the same path with bikini line. Healing of scars depend on person’s genetic composition and takes 1-2 years to take its final form with abdomen.
Abdominal muscles stand separated and abdominal fascia loosens after pregnancies. Umbilicus gets deformed due to excessive amount of weight gain and pregnancy. The sagging skin that contains stretch marks under umbilicus and the subcutaneous fat tissue is removed together in abdominoplasty. The loosen abdominal fascia is strengthened with plication techniques with a proper direction and tension. A new and more aesthetic umbilicus is reconstructed. Subcutaneous fat tissue can be reduced with a liposuction surgery combined with this operation. This way, a flatter abdomen and a thinner waist with a more aesthetic umbilicus can be obtained. A vacuumed pipe system called drainage tubes is used to prevent the leakage to build up at operation sites. Patient is dressed with a corset that surrounds the abdomen.

How is postoperative phase of abdominoplasty surgery?
ما الذي يتم اجراءه بعد عملية شد البطن
Drains can be removed in 3-4 days depending on outcoming leakage. The patient is discharged two or three days later with a prescription for antibiotic and an analgesic. The patient is asked to sleep in a position that legs are slightly bended and back is elevated and to walk slightly bended forward. This way the tension of sutures can be decreased. After two weeks the patient can slowly change their sleeping and walking position to normal. The swelling at operation site begins to reduce after 3rd day. Corset should be used regularly for 4 weeks. Patients are recommended to eat frequently and small portions. There can be adverse events after every surgical intervention. Risk of anesthesia, hematomas at surgical site, infection and delay of wound healing are common complications that can be seen after any surgical operation. Usage of cigarettes increases complication rate because of its negative effects on tissue oxygenation and blood flow. Smokers must quit smoking at least 2 weeks before the surgery and shouldn’t smoke for 2-3 weeks after. The most unwanted complication after abdominoplasty is embolism. To prevent embolism; anti-emboli socks are dressed to patients. Massage is applied to legs to give them movement after surgery. Proper medication is given by the time patients are in hospital. History of deep venous thrombosis is questioned before the surgery for the risk of emboli.
Abdominal numbness, swelling and sensitivity are natural. Abdominal area starts to take its form after first month and it takes 1-2 years to take its final form. Sauna, Turkish bath and sportive activities are not recommended before 8 weeks.

What is mini abdominoplasty/ mini tummy tuck?
ما هي عملية شد البطن الصغرى
Mini abdominoplasty is the surgical procedure that is performed with the condition of loosening and sagging of abdomen is only located under umbilicus. The operation can end with smaller scars since it is a more localized surgery compared to full abdominoplasty. Postoperative healing process is faster and can be combined with a liposuction surgery for fat deposits superior to umbilicus. This surgery can be combined with a liposuction surgery to this area.

bacak_içi_germe

What is thighplasty / thigh-lift?
ما هي عملية شد الفخذين
Thighplasty is a surgical operation that is made to correct sagging of skin and subcutaneous tissue which occurred in medial parts of legs due to gravity and rapid weight gain and loss or structurally. Fat depositions at medial parts of the legs can be reformed with a localized liposuction if skin is not loosen. Skin and subcutaneous tissues of this area are more loosen than the other parts of legs anatomically. Therefore in this area discomforting sagging appears more oftendue to weight changes and gravit. Its uncomfortable to wear swimsuits and shorts at summer for these patients. In advanced deformities, rashes, redness and sours caused from rubbing of medial sides of two legs make these people to wear pants all the time to prevent rubbing. The removal of subcutaneous fat tissue with liposuction techniques makes the sagging more apparent. Therefore thighplasty that involves removal of tissues that causes sagging are combined with liposuction surgery.

How is tighplasty done?
كيف تتم عملية شد الفخذين
Tighplasty is performed at operating conditions in hospitals with local anesthesia and sedation or general anesthesia. If there is loosening of the tissue with excess fat, subcutaneous fat removal is done first with liposuction techniques. After the liposuction, the excess tissue that causes skin and subcutaneous tissue sagging is removed after it is stretched upwards. Scars are hidden in pubic area to be hidden under underwear. Widening and permanency of the scars depend on the patient’s genetic composition and taking its final form takes about 1-2 years. A vacuumed pipe system called drainage tubes is used to prevent the leakage to build up at operation sites..

How is the postoperative phase of thighplasty?
ما الذي يجب القيام به بعد عملية شد الفخذين
Drainage is removed in 2-3 days depending on the leakage. Patient is discharged same day or the next day with a prescription for antibiotic and an analgesic. The bruising at the medial sides of legs begins to reduce after first week. Keeping legs above the heart line and resting in general fasten the healing process. Wound healing can be delayed because of the suture line being on pubic region that is one of the wet areas in human body. It recovers fine with dressings. Especially in bariatric patients where sagging appears after extensive weight loss (over 20 kilograms), scars can continue all along through the medial side of legs. For determination of final localization of the scars, a detailed preoperative examination is necessary. .
Patients can continue their active life after 10 days. Sauna, Turkish bath and intensive sportive activities are not recommended before 8 weeks.

What is arm lifting/ brachioplasty?
ما هي جراحة شد الذراعين
Brachioplasty is a surgical operation that is made to correct the sagging of skin and loosening of the subcutaneous tissue that appears at the medial sides of arms due to gravity, rapid weight gain and loss or due to structural reasons. Local fat deposits can be removed with a localized liposuction operation if sagging of the skin doesn’t exist. Skin and subcutaneous tissue is more loosen in this area compared to other parts of arms anatomically. Therefore
uncomfortable sagging mostly occurs in this area due to gravity and rapid weight gain and loss. Dressing at summer with short -sleeved outfits, activities that requires arm movements make this patients very much uncomfortable. Removal of subcutaneous fat deposition with liposuction techniques makes skin sagging more noticeable. Therefore brachioplasty surgery that involves removal of subcutaneous tissue that leads to sagging should be combined with liposuction surgery if necessary.

How is brachioplasty done?
كيف تتم عملية شد الذراعين
Brachioplasty is performed at operating conditions in hospitals under local anesthesia and sedation or general anesthesia. If there is excess fat deposition with the sagging of medial brachial skin, subcutaneous fat tissue is removed first with liposuction techniques. After liposuction, the sagging and subcutaneous tissue that becomes more noticeable is removed. Important thing about this surgery is the localization of scars. Scars can be hidden in axillary area if the sagging is small. But sagging that makes people have this surgery is mostly more advanced than the stage that scars can be hidden in axillary area. The desired tension can only be achieved if the excision of the excess tissue is made parallel to arm length. Scars are tried to be localized in a way that they won’t be seen at anatomical position when arms are parallel to body when they are observed from frontal or posterior sides. Widening and permanency of the scars depend on the patient’s genetic composition and taking its final form with arms takes about 1-2 years. A vacuumed pipe system called drainage tubes is used to prevent the leakage to build up at operation sites.

How is the postoperative phase of brachioplasty?
ما هو المطلوب اتباعه بعد عملية شد الذراعين
Drainage can be removed in 2-3 days depending on the leakage. Patients are discharged the same day or the next day with a prescription for antibiotic and an analgesic. The bruising at the medial sides of arms begins to reduce after first week. Avoidance of activities that burdens the arms fastens the healing process. Sauna, Turkish bath and intensive sportive activities are not recommended before 8 weeks.

 

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