Browsing by Author "Erol, O. Onur"

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Citation Count: 25
Brow suspension, a minimally invasive technique in facial rejuvenation
(2002) Erol, O. Onur; Sözer, S. Ozan; Velidedeoğlu, Hifzi V.
People tend to prefer noninvasive or minimally invasive methods of facial rejuvenation, especially when it involves their face, which is the hallmark of a person's identity and impossible to hide. It is widely known that brow ptosis gives the face a "tired look" and also accentuates deformities of the upper eyelid. Most people who are interested in facial rejuvenation may not accept even a minor surgery, such as an endoscopic surgery. The senior author has developed a minimally invasive method of suspending the brow at a higher position. In this technique, there is neither surgical dissection nor a surgical incision except for four stab incisions and suture insertion, which is why we refer to it as a nonsurgical brow suspension. It is done under local anesthesia, and the brows are fixed in the position that they assume when the patient is supine. In the past 6 years, we performed 387 brow suspensions on 324 female and 63 male patients. The youngest patient was 19 years old, and the oldest was 74 years old. A retrospective chart review was done. These 387 cases were reviewed by comparison of preoperative and postoperative photographs. This approach was not only used for patients who were not interested in surgical rejuvenation but was also combined with lipofilling, laser resurfacing, and/or upper blepharoplasty. This technique is useful for correcting postsurgical brow asymmetry. We present this technique as an adjunct to the established techniques of facial rejuvenation. Despite the high patient acceptance and technical ease, it is not a replacement for the established techniques of facial rejuvenation.
Citation Count: 0
An earthquake disaster in Turkey: Assessment of the need for plastic surgery services in a crisis intervention field hospital - Discussion
(Lippincott Williams & Wilkins, 2001) Pençe, Murat; Güney, Hasan Sadık; Ağaoğlu, Galip; Erol, O. Onur
[Abstract Not Available]
Citation Count: 1
Facial autologous soft-tissue contouring by adjunction of tissue cocktail injection (micrograft and minigraft mixture of dermis, fascia, and fat)
(2000) Erol, O. Onur
Facial aging is both a physiologic and anatomic process characterized by changes in the skin and supporting tissues. The aging process produces an outer envelope that gradually expands while its contents gradually involute and the underlying structure weakens. This process results in an excess of skin that tends to create folds, grooves, and deepening furrows. Contour augmentation and filling depressions with autologous tissue or heterogeneous materials are widely used in face rejuvenation as an adjunctive procedure. There is unanimous agreement on the advantages of autogenous tissue grafts over alloplastic materials and heterogeneous transplants. It is also well known that the revascularization of a small graft (fat, dermis, and/or composite graft) is better than a large graft. For this reason, fat injections consisting of small particles have recently become popular. According to different authors, a graft take may vary from 30 to 50 percent. Nevertheless, it has been thoroughly documented that a graft consisting of dermis or fascia is superior to a fat graft in both the graft take rate and quality of the tissue. Strips of dermal graft have been used successfully for several years to fill lip contour and nasolabial folds. However, the main disadvantage of this technique is that utilization is restricted only to certain areas where there is a need for a small incision. To overcome this obstacle, the author developed a simple technique to obtain an injectable mass from a mixture of dermis, muscle strips, fat tissue, and fascia to use in body contouring (especially in the facial region) in large areas. The author describes the use of the technique in 450 patients. Follow-up in these patients from 6 months to 10 years showed that the application of the "tissue cocktail" procedure in select patients improved the author's results and created a marked increase in the number of satisfied patients with no complaints. The take and durability of this kind of graft were superior to the author's results using fat grafts. The tissue cocktail graft remained stable for several years, as effectively seen in the chin region. The sole complication from the procedure was some bruising, which was resolved in several days. No single infection or inclusion cyst was observed in this series.
Citation Count: 20
In situ split costal cartilage graft harvesting through a small incision using a gouge
(Lippincott Williams & Wilkins, 2000) Ağaoğlu, Galip; Erol, O. Onur
A costal cartilage graft is one of the most useful materials in reconstructive plastic surgery. In this article a technique of in situ split costal cartilage graft harvesting through a small incision (2 to 3 cm) using a gouge is described. The technique used has many advantages: it is a simple technique is easy to learn and can be performed quickly through a small incision. By avoiding complete costal cartilage graft harvesting the associated potential complications such as pleural perforation chest wall deformities long-lasting postoperative pain and incisional scar length are reduced. This technique will be useful in selected cases for which a complete block of costal cartilage graft is not needed.
Citation Count: 1
Long-standing seroma after ultrasound-assisted liposuction
(Lippincott Williams & Wilkins, 2001) Ağaoğlu, Galip; Erol, O. Onur
[Abstract Not Available]
Citation Count: 24
New modification in otoplasty: Anterior approach
(Lippincott Williams & Wilkins, 2001) Erol, O. Onur
After harvesting the conchal cartilage in a large series of secondary rhinoplasties using the anterior approach there was a marked improvement in the shape of the auricle with unnoticeable scarring hidden under the convolution of the antihelix. In this series of 250 cases there were no hypertrophic scars or keloid formations. Based on these favorable results a new modification of otoplasty was developed using only the anterior approach. Between 1992 and 2000 108 otoplasties were performed on 55 patients to correct the prominent ear using only the anterior approach. All maneuvers used in modern otoplasty such as conchal reduction scaphal cartilage scoring and folding placement of horizontal mattress buried sutures conchal setback and the positioning of the tail and upper pole can be easily and effectively performed using only the anterior approach as described in this article. The use of an anterior approach does not disturb the neurovascular system of the ear because it is located on the ear's posterior side. Overall patient and physician satisfaction has continued to be very high during the 8 years that this technique has been used. Some patients experienced a few minor complications such as postoperative pain (16.3 percent) late suture reaction (1.8 percent) hidden helix (3.6 percent) and partial relapse (3.6 percent) that were easily corrected by the application of a Kaye-type buried suture and that were not directly related to the technique.
Citation Count: 7
Reconstruction of the superior labial sulcus in secondary bilateral cleft lip deformities: An inverted U-shaped flap
(Lippincott Williams & Wilkins, 2001) Erol, O. Onur; Ağaoğlu, Galip
A shallow buccal sulcus deformity following bilateral cleft lip repair is not rare. A variety of techniques are described for the secondary reconstruction of a deficient sulcus. Most of these are associated with a variable amount of contraction with subsequent obliteration of the sulcus. In this article an inverted U-shaped flap is described for the secondary reconstruction of the deficient sublabial sulcus. In these patients mobility of the upper lip was severely restricted so orthodontic treatment was not possible. This technique was used in nine patients whose primary cleft lip repairs were performed in different institutions. The amount of re-adhesion or contraction was negligible because a bare surface was not left behind and skin or mucosal grafts were not used. By advancing the lateral segments of the lip medially projection of the upper lip was increased. The procedure resulted in adequate upper lip mobility for all patients and sufficient sulcus was maintained during 1 to 6 years of follow-up. The patients experienced no difficulty with orthodontic appliances after this reconstruction.