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MINI ABDOMINOPLASTY A mini-abdominoplasty is similar to a standard abdominoplasty with a few differences. Like the latter, the mini-abdominoplasty uses a waist crease incision but often (but not always depending upon the amount of skin to be removed) the incision is not quite as long as with the standard procedure. A shorter incision does not mean you will heal faster or have a shorter recovery, the difference in incision length is not enough to make such a difference. Wounds heal side to side, not end to end, so a shorter incision heals in the same time as a longer incision. There are some other substantial differences. There is no incision made around the umbilicus, and it is for this reason that when the skin is lifted up off the abdominal wall, it is only to the level of the umbilicus. As only the lower abdominal wall is exposed, only the lower abdominal muscles can be tightened. There is a variety of the procedure where the umbilicus is left intact on the outside skin but cut at its base from the abdominal wall. This is called floating the “umbilicus”. This will allow the surgeon access to the upper abdominal muscles for tightening. I am not a big fan of this procedure. More on this in a bit. Lastly, when the abdominal wound is closed, the umbilicus may be pulled down slightly, usually no more than a centimeter or so, and this doesn’t appear to cause any concern in my experience. +Who Should Consider A Mini Tummy Tuck? Read more The indication for a mini-abdominoplasty is basically excess lower abdominal skin with or without a lax lower abdominal wall. The upper abdomen is in good shape, no excess skin or lax wall. In these cases there is no reason to alter the upper abdomen and thus no need to get the umbilicus out of the way and therefore there is no need for an incision around the umbilicus. the recovery from this procedure is probably a little easier than a standard abdominoplasty because only the lower half of the abdomen is operated, as opposed to the entire abdomen. An easier recovery is not a reason to select this procedure. If you need a standard abdominoplasty if and you select a mini-abdominoplasty procedure, you will probably be very disappointed. However, if you do have a mini-abdominoplasty and you really need a standard abdominoplasty or later on with weight changes you develop the need for a standard abdominoplasty, the performance of a mini-abdominoplasty now will not burn any bridges for later. That is to say, if you have a mini-abdominoplasty now, you can convert to a standard abdominoplasty at any time later. There is a version of this procedure called “floating the umbilicus”. In this procedure, the umbilicus is left intact to the surrounding skin on the outside, but as the abdominal skin is lifted upwards off the abdominal wall, when the umbilicus is encountered, it is transected (cut) from its attachment down below on the abdominal wall. Now the umbilicus floats upward off the abdominal wall, remaining attached to the abdominal skin. While this does give easy exposure to the upper abdominal muscles, there is a trade-off. As the abdominal skin is pulled downwards to the pelvis, one cannot predict at what vertical position the umbilicus will now reside. In other words, the umbilicus can now lie way too low on the abdominal wall and that does not look good! +How Does The Surgery Work? Read more Step 1 The blue ellipse indicates the proposed amount of skin to be removed. The lower solid blue line is where the initial incision is made. The dotted blue line is the proposed upper portion of the skin excision (removal). This can vary upwards or downwards depending upon how much skin excess exists. In this procedure, there is no incision made around the umbilicus. The umbilicus remains attached to the underlying abdominal muscles as well as to the remaining abdominal skin. There will not be a circular hole in the skin flap. The yellow area shows the extent to which the abdominal skin is elevated off the abdominal wall. Step 2 The abdominal skin is elevated off the abdominal wall, the abdominal musculature is revealed. The skin is elevated to just below the umbilicus in the midline, a little higher to either side of the umbilicus so as to maintain the attachment of the umbilicus to the abdominal wall. Step 3 The abdominal wall musculature is tightened using a special running suture. The muscles are brought together in the midline. Step 4 The completed repair of the abdominal musculature is shown. Step 5 The excess skin is elevated above the abdominal wall and pulled downward. The area of resection (removal) is indicated with a dotted line. There is no hole in the abdominal skin flap because there was no incision made around the umbilicus. Step 6 The final result is shown with the location of the scar across the waist crease of the abdomen. There is no scar around the umbilicus. The mini abdominoplasty is performed when both the skin and abdominal muscles have lost their elasticity and become flaccid. This procedure is performed under general anaesthetic and the method used ensures that no pain is felt. +Guidelines For Surgery Read more The following guidelines apply for all types of surgery Use of all blood thinners should be stopped (under guidance from Dr Celikkaya) Smoking should stop from the date of the operation until 10-14 days after the treatment. Any activities that will increase blood pressure should also be halted. In most cases you will be able to return home after an overnight stay in hospital for observation This surgery is performed under general anaesthetic It is possible to return to most day to day activities after 5 days of rest Upon completion of the surgery the patient will be fitted with a compression garment that they are expected to wear for the three weeks following the surgery. Light exercise (walking etc) is permitted shortly after surgery, but it is advised that the patient wait at least 6 weeks before undertaking any heavy or strenuous exercise Results are considered to be permanent, however, further pregnancies or excessive weight change will affect the permanent nature of the procedure If the belly button is removed during the process is will be replaced and look identical to the one removed The ideal time after giving birth to consider the tummy tuck procedure is 1 year Procedures can be combined under the guidance of Dr Celikkaya + What are the main factors to be considered before a mini abdominoplasty surgery? Read more As with all surgical procedures generally, patients must abstain from taking blood thinners, limit drinking alcohol and smoking as much as possible and ideally, stop altogether in the last couple of days preceding surgery. + What factors should be considered after mini abdominoplasty surgery? Read more After the mini abdominoplasty surgery, the patient comes to the hospital room dressed in a compression garment. We recommend this compression garment is used for three weeks. Light walks can commence immediately after surgery but it is wise to wait one and a half months before undertaking heavy exercise + What is the minimum age for a mini abdominoplasty surgery? Read more The tummy tuck operation is best undertaken after pregnancy if possible. There are no upper age limits in this surgery. It is possible to operate on people who are healthy and take good care of themselves, at any age. + Are any scars left after mini tummy tuck surgery? Read more If there is sagging in the skin, especially any excess under the tummy, the preferred size and location for the abdominoplasty scars is 4 cm on both sides, left and right of the caesarean scar line. This scar can usually be hidden behind bikini bottoms and turns into a thin, white line after the healing period + Are there any problems with getting pregnant after a mini tummy tuck surgery? Read more There is no harm in getting pregnant one year after a tummy tuck surgery. If the person does not gain too much weight during pregnancy, the tummy will return to how it looked right after abdominoplasty + Does the tummy lose its form in the case of weight gain after the surgery? Read more During the tummy tuck operation, the abdomen is narrowed and an inner corset is built. Patients usually lose weight after the surgery, but in the case of weight gain, the abdomen area does not return to its shape before the operation in any way, but maintains its proportion. + What is the right timing for a tummy tuck? Read more The right time for a tummy tuck operation for those who have given birth is the end of the first year. At the end of this period, the patient can lose as much extra weight as she can and the degree of sagging and stretchmarks settle. Ideally any weightloss should reach completion before the tuck since they are performed to correct the end results of a weight loss program. Best results are achieved if the patient has reached their ideal weight. + Can a tummy tuck and liposuction be performed simultaneously? Read more Yes. For the right patient and with the correct planning, a tummy tuck and liposuction can be carried out simultaneously.

FULL ABDOMINOPLASTY The inverse abdominoplasty is performed when both the skin and abdominal muscles have lost their elasticity and become flaccid. This procedure is performed under general anaesthetic and the method used ensures that no pain is felt. This procedure will normally take 1.5 to 2.5 hours to complete and the incision required will be longer than a typical caesarean section scar, however, the scar will be hidden beneath the bikini line and become less obvious over time. The initial recovery time for this operation is typically 5 days after which a compression garment will need to be work for a further 3 weeks. The outcome of this procedure will be a firmer, flatter, more muscular shape to the abdomen. +Who Should Consider A Tummy Tuck? Read more There are a number of reasons that patient might consider a Tummy Tuck and a number of different procedures that can be used to produce the ideal result. The condition of the operational area, the amount of sagging in the abdominal wall and the amount of excessive skin. Dr Celikkaya will advise the patient of the best procedure or combinations of procedure required to produce the desired outcome. +How Does The Surgery Work? Read more The surgery works by pulling the inner wall of the abdomen together creating an “inner corset”, drawing together the muscles to the centre line. Once the abdominal wall has been flattened and narrowed, the excessive skin is removed and pulled down and together to create a slimmer profile. The resulting scar sits below the bikini line. +Guidelines For Surgery Read more The following guidelines apply for all types of surgery Use of all blood thinners should be stopped (under guidance from Dr Celikkaya) Smoking should stop from the date of the operation until 10-14 days after the treatment. Any activities that will increase blood pressure should also be halted. In most cases you will be able to return home after an overnight stay in hospital for observation This surgery is performed under general anaesthetic It is possible to return to most day to day activities after 5 days of rest Upon completion of the surgery the patient will be fitted with a compression garment that they are expected to wear for the three weeks following the surgery. Light exercise (walking etc) is permitted shortly after surgery, but it is advised that the patient wait at least 6 weeks before undertaking any heavy or strenuous exercise Results are considered to be permanent, however, further pregnancies or excessive weight change will affect the permanent nature of the procedure If the belly button is removed during the process is will be replaced and look identical to the one removed The ideal time after giving birth to consider the tummy tuck procedure is 1 year Procedures can be combined under the guidance of Dr Celikkaya + What are the main factors to be considered before an abdominoplasty surgery? Read more As with all surgical procedures generally, patients must abstain from taking blood thinners, limit drinking alcohol and smoking as much as possible and ideally, stop altogether in the last couple of days preceding surgery. + What factors should be considered after abdominoplasty surgery? Read more After the abdominoplasty surgery, the patient comes to the hospital room dressed in a compression garment. We recommend this compression garment is used for three weeks. Light walks can commence immediately after surgery but it is wise to wait one and a half months before undertaking heavy exercise. + Does the shape of the belly-button distort in an abdominoplasty surgery? Read more The belly-button is extracted from the skin without any change, so the shape stays the same, only a replacement is made + What is the minimum age for an abdominoplasty surgery? Read more The tummy tuck operation is best undertaken after pregnancy if possible. There are no upper age limits in this surgery. It is possible to operate on people who are healthy and take good care of themselves, at any age. + Are any scars left after tummy tuck surgery? Read more If there is sagging in the skin, especially any excess under the tummy, the preferred size and location for the abdominoplasty scars is 4 cm on both sides, left and right of the caesarean scar line. This scar can usually be hidden behind bikini bottoms and turns into a thin, white line after the healing period. + Are there any problems with getting pregnant after a tummy tuck surgery? Read more There is no harm in getting pregnant one year after a tummy tuck surgery. If the person does not gain too much weight during pregnancy, the tummy will return to how it looked right after abdominoplasty. + Does the tummy lose its form in the case of weight gain after the surgery? Read more During the tummy tuck operation, the abdomen is narrowed and an inner corset is built. Patients usually lose weight after the surgery, but in the case of weight gain, the abdomen area does not return to its shape before the operation in any way, but maintains its proportion. + What is the right timing for a tummy tuck? Read more The right time for a tummy tuck operation for those who have given birth is the end of the first year. At the end of this period, the patient can lose as much extra weight as she can and the degree of sagging and stretchmarks settle. Ideally any weightloss should reach completion before the tuck since they are performed to correct the end results of a weight loss program. Best results are achieved if the patient has reached their ideal weight. + Can a tummy tuck and liposuction be performed simultaneously? Read more Yes. For the right patient and with the correct planning, a tummy tuck and liposuction can be carried out simultaneously.

NIPPLE/AREOLA REDUCTION Nipple and Areola Reduction operations are simple procedures that effectively reduces the size and changes the shape of one or both of your nipples. This surgery can be performed on its own under local anesthesia. However, it is often performed alongside other surgeries such as breast reduction, breast lift, breast augmentation or mummy makeovers. Nipple Reduction can reduce the height and width of the nipple, reshaping it into a desirable form, while preserving sensation. Many people also choose to have the surgery in order to have more symmetrical areolas in cases where one nipple is larger than the other. It can be carried out on its own under local anesthesia or in combination with other procedures under general anesthesia. During your initial consultation with our skilled surgeons, you will be able to communicate your aesthetic concerns and go over the different surgical options available to you. When the nipple is a different colour than the skin surrounding it, often the scar will blend in and appear more natural. Our highly skilled surgeons will also focus on retaining the connections between the breast tissue and the skin, to preserve the ability to breastfeed. Recovery from Nipple Reduction surgery is quick with very little disruption to your normal routine. You may experience some bruising and swelling in the area operated on, however, this will usually fade in a couple of days. Our surgeons use very fine stitches that will dissolve and fall out naturally over the course of a week or so. This procedure is not particularly painful, and the pain can be managed with over the counter painkillers, such as paracetamol and anti-inflammatory medicine. During the healing and recovery process, you should be able to return to your normal daily activities just a few days following your surgery, depending on your tolerance of the swelling. We recommend avoiding any strenuous activities, or heavy lifting, for at least 2 weeks following the surgery. Wearing a good support bra for the weeks following the surgery is also recommended. You will be able to see your final results and the shape of the nipple and areola within 2-3 months of the procedure, once the areola has settled into its new form and the scar has settled. + What Are The Different Surgeries Offered For Nipples? Read more Areola reduction – This is a swift and straightforward procedure that removes the excess brown area from around the nipple. Small reductions leave an inconspicuous scar around the base of the nipple. Larger reductions can leave a scar around the outside edge of the areola – both techniques can be carried out under local anesthesia. Nipple inversion - The nipple itself lies flat or inverts inwards towards the body rather than protruding in the normal way. This condition can occur from birth but in some cases, can develop later on in life. This is typically another swift and straightforward procedure that can be carried out under a local anaesthetic although different grades of inverted nipples require different complexities of surgery. Nipple Reduction is carried out to reduce the height and width of the nipple whilst preserving its sensation a can be very effective at relieving embarrassment associated with this condition. It can be carried out under local anaesthetic as treatment as well as recovery is quick and straightforward. Each of these surgical procedures is straightforward and can either be carried out on their own under a local anaesthetic or as part of a more complex breast procedure. + How Is A Nipple Reduction Or Correction Performed? Read more Areola Reduction - Areola reduction is a quick and simple procedure that can be performed on both men and women. It involves removing the excess brown or pink area surrounding the nipple which usually has a diameter of between 4-5cm. Areola reduction usually begins with your surgeon removing a circular segment of the outer brown area of the areola. The skin surrounding this is then brought inwards in a purse string fashion to surround the areola. Inverted Nipple Correction is usually carried out under local anaesthetic and in one of two most common ways. The first begins with an incision to allow lifting of the nipple and areola tissue whilst remaining attached to the breast, the ducts are separated and the nipple is allowed to sit proudly in its new position. The second method is the incision is made at the base of the nipple and the shortened milk ducts are detached completely allowing for a natural looking projection of the nipple. Nipple Reduction – The most popular involves elimination of a strip of skin about the neck of the nipple which is closed and sutured reducing the height of the nipple by pushing a portion of the nipple back into the breast tissue. This is a very straightforward procedure and is often performed under local anaesthetic. + Why Choose Nipple And Areola Correction Surgery? Read more Although everyone has nipples, not everyone may be happy with the size and shape of their nipples. Though any problems with your nipples may be a harmless medical condition, we understand how inverted nipples, enlarged nipples, puffy nipples or a large areola (the darker skin around the nipple) may cause discomfort or self-consciousness. Enlarged nipples can be hereditary and you may have been born with the condition or have experienced changes in your nipples during puberty or after breastfeeding. If the appearance of your nipples is a concern for you, nipple correction surgery can have excellent aesthetic results. Other reasons you may want a nipple correction could include asymmetry between the left and right nipples or stretching or irregularity of the areolas after previous breast surgery. Often after pregnancy and breastfeeding, women are left with a nipple shape that is less desirable from what they previously had, and they wish to correct it. + How Should I Prepare For An Areola Or Nipple Correction Surgery? Read more During your consultation, you can expect your surgeon to examine your breasts, go over your surgical options and ask you for a complete medical history and current list of medications. Your surgeon will listen to your aesthetic concerns and explain the procedure to you. They will give you an idea of what your areolas and nipples will look like after the surgery. Your experienced Celikkaya Clinic surgeon will give you pre-operative advice at your initial consultation and this may include stopping smoking and taking certain medications such as aspirin which will delay your healing. Many of these procedures can be easily accomplished under local anesthesia. For the larger procedures or for preference you may decide to have our gentle form of anesthesia, TIVA (Total Intravenous anesthesia) in this case, you’ll be asked to arrange a ride to and from the procedure, as you’ll be unable to drive after surgery. You will need to fast for 4 hours, although sips of water are permissible for up to 2 hours before surgery. It’s also best to come to surgery without any make-up or cosmetics, without wearing any jewellery and in comfortable, loose fitting clothes. + Do I Need Downtime After An Areola Or Nipple Correction Surgery? Read more You will need a protective dressing for at least a week following surgery. This can be disguised with loose clothing. There may also be stitches to remove after 7-10 days. Exercise including brisk walking should be avoided. However, you are not in significant pain and capable of working from home the next day. Normal work depends on travelling issues and how physical it is. You may need to take one week off work following an areola or nipple reduction/correction surgery, perhaps longer if your job requires anything very physical. Strenuous activities, heavy lifting and intense exercise should be avoided for around 6 weeks following your surgery. You should be back to your regular routine and exercise after 4+ weeks of surgery. + How Can You Fix A Protruding Nipple? Read more A protruding nipple can be fixed by trimming the skin and bulk of the nipple to shrink its overall size. It is similar to other procedures that remove excess tissue from the body, but in this case, the procedure is on a much smaller scale and scars insignificant. Around one in ten women in the UK suffer from nipple-related conditions where the nipples may be irregular or enlarged causing them to protrude through clothing. Protrusion can be a source of embarrassment as well as pain and irritation known as ‘jogger’s nipple’. Protruding nipples can be an issue for men too. Underlying breast tissue may, in addition, push the nipples outward and require reduction. This condition is called Gynaecomastia. Nipple correction is about ridding the patient of their social anxiety or embarrassment and physical pain from their condition. Protruding nipple correction at our Clinic can reduce the height and width of the nipple while still preserving sensation. Nipple correction can easily be combined with other procedures, so you only have to go through the process of surgery once. If you find your self-image and your confidence comprised by protruding nipples, the solution may be easier than you thought. The procedure is relatively simple and straightforward. It can be carried out under local anesthesia or in combination with other procedures (under general anesthesia). Recovery from protruding nipple surgery is quick with very little disruption to your normal routine. Nipple correction surgery is an outpatient procedure. Since there is no long rest period following the procedure you will be back in the swing of things with newfound confidence in no time.

THIGH LIFT Thigh lift surgery (thighplasty) is performed to sculpt and tighten the inner and outer thigh regions, and to improve the overall shape and contour of the thighs. Thighplasty is most often performed on patients who present with the aesthetically problematic issues of redundant (excess) skin and persistent fat pockets in the thigh region. A large amount of excess skin in the thigh area is primarily caused by the loss of skin elasticity that occurs after patients have undergone significant weight loss, either through bariatric weight loss surgery or the more traditional means of diet and exercise. Following massive weight loss, the body is often unable to re-conform to the new, smaller dimensions, which leads to the presence of aesthetically undesirable excess, hanging skin. Although not technically a medical problem, large amounts of excess skin can pose challenges in terms of hygiene, finding clothing that fits appropriately, and can have a negative impact on a patient’s emotional well-being by marring the true results of their weight loss efforts. For these patients, thighplasty offers not only aesthetic benefits, but can also serve as a final step in their weight loss journey, enabling them to finally appreciate the fruits of their weight loss transformation. +Procedure Read more Thighplasty typically lasts 2-3 hours, and is performed using general anesthesia in an outpatient setting. The three primary thighplasty techniques include: Inner Thigh Lift: lifts, tightens and sculpts the inner thighs using the incision made at the junction of the pubic area and the upper thigh region Bilateral Thigh Lift: lifts and tightens the skin along both the right and left side of the leg using an incision made at the top of the thigh Medial Thigh Lift: lifts and tightens skin, and removes fat from the upper region of the inner thigh using an incision beginning in the groin area, and running to the back of the buttock crease For patients who present with a significant degree of fatty tissue in the thigh region, liposuction can be performed in conjunction with a thigh lift to enhance the surgical results. +Recovery Read more Following your thigh lift surgery, Dr. Celikkaya will place temporary drains to treat any fluid accumulation, and the drains will generally be removed 5-7 days after your surgery. In order to minimize swelling and promote skin contraction, you will also be provided with a specialized compression garment to wear during the first part of your recovery process. The duration of your post-surgical recovery period will be determined by the extensiveness of your thigh lift surgery, the capacity of your body to heal itself, and whether or not you had other procedures performed with your thighplasty; however, most patients should allow 7-14 days for rest and recuperation, and should minimize leg movement whenever possible during that time. Most post-surgical swelling or bruising generally abates within one month, and the majority of patients are able to recommence all of their regular daily activities within four to six months.

LABIOPLASTY Labiaplasty, or 'labial reduction', is one of the most popular cosmetic surgery procedures in the world for women. It is common for women to have concerns about the size, shape or definition of their labia, the inner and outer folds that sit either side of the vagina. This may be the result of genetics, ageing, or most frequently, following childbirth. Labiaplasty is a quick and straightforward surgical procedure to reshape and resize the labia. + What Is a Labiaplasty? Read more Labiaplasty or labioplasty is quite simply a procedure aimed at reshaping or reducing the size of the labia minora (small inner lips of the vulva), or less commonly, the labia majora (the large outer lips of the vulva). It is not the same as a vaginoplasty, which is an operation to tighten the vagina. The unwanted tissue is cut away with a scalpel or laser before the loose edges are stitched back together with fine, dissolvable stitches. It can be done using either a general anaesthetic or a local anaesthetic with sedation. The whole procedure takes about 1 to 2 hours, and all patients are able to go home several hours later for their recovery. +What Happens During a Labiaplasty Procedure? Read more A labiaplasty can be carried out using either a general anaesthetic or a local anaesthetic. If a local anaesthetic is opted for, it can be performed with or without sedation. The procedure involves reshaping or reducing the labia using one of several different techniques. These include trimming of the edges or removal of a section of each labium, for instance in the shape of a wedge. The specific technique will have been discussed with you in detail at the time of your consultation. The wounds are the stitched up with fine dissolvable stitches. The whole procedure takes about one to two hours and a patient is able to go home the same day, regardless of the type of anaesthetic used. +How Long Will I Need To Recover From a Labiaplasty? Read more Labiaplasty is not a particularly painful procedure, and patients are encouraged to be up and about straight away. Most of the swelling usually settles in the first few days or early weeks. Some residual swelling may persist for months, but does not normally interfere with day to day activities. Most patients will have returned to all normal activities between 4 and 6 weeks following their operation. Your surgeon will discuss the aftercare plan with you in greater detail. +How Much Time Off Will I Need After a Labiaplasty? Read more Following labial surgery, patients are advised to take a few days off work with the option of a full week if required, with a view of returning to normal day-to-day activities after about one week. Swelling is greatest during the first few days and the treated areas can be quite uncomfortable with excessive movement. Although it is advisable for patients to mobilise as soon as is comfortable following surgery, they should be sensitive to their body and not to do too much too soon. +Is a Labiaplasty Procedure Painful? Read more Most patients opt for general anaesthetic when undergoing a labiaplasty, so they won’t feel any pain. Any discomfort or pain experienced after the surgery will be controlled with medication provided by the doctor and this will usually subside within a few days. Discomfort is usually the result of swelling which tends to subside after the first days of recovery +Are There Risks Are Associated With Labiaplasty Surgery? Read more You must be certain exactly what you want from the procedure. This includes not just the appearance, but also the expectation of the effect that this will have on you and your sex life. Discuss this carefully with your surgeon as disappointment is really the worst outcome. There always swelling and bruising and this may take a few weeks to settle. Bleeding or more specifically, oozing, is also common for a day or so. Less commonly, we see delayed healing and local infection. This usually settles in a week or so. Just occasionally, as a result, you will need a minor revision procedure. There is soreness rather than significant pain and this response to simple painkillers. Any numbness around the incision settles in a month or two and is rarely persistent. Even if you opt for general anesthesia, rather than a local, you are awake and home in no time. +Am I Able To Go Home The Same Day As Labiaplasty Surgery? Read more Certainly. This is a self-contained local procedure, which should not affect you generally. It can be done under Local Anesthesia or the Celikkaya Clinic form of light General Anesthesia called TIVA (Total IntraVenous Anesthesia) and always as a Day Case. You will wake up instantly and not be nauseated. Set aside half a day. Simple painkillers will suffice. Maybe work from home the next day or two. Avoid significant exercise for 2 – 3 weeks and sexual activity for a bit longer. +How Should I Prepare For a Labiaplasty Surgery? Read more During the initial consultation, the surgeon will advise patients to stop smoking and will review any medication they may be taking. The surgeon will also provide patients with all information needed to ensure they are fully prepared for the procedure. +Why Do Women Have It? Read more The motivation for Labiaplasty surgery can be aesthetic or functional in nature. For many women having larger or asymmetrical labia can cause chafing and discomfort whilst wearing tight fitting clothes, or during physical activities such as sexual intercourse and exercise. For others the appearance of oversized or asymmetrical labia can be the cause of significant psychological distress or even embarrassment. This often occurs when the appearance of the labia has changed over time, either with the onset of the ageing process or following childbirth, when the labia have become enlarged, stretched or asymmetrical. Equally, genetics can also play a part. Whilst there is not accepted definition of what is normal when it comes to the size and shape of the labia, for many labiaplasty offers a highly effective, swift, and minimally invasive surgical solution that can solve the problem in a matter of hours. +Who Is Suitable? Read more Celikkaya Clinic considers individuals fit for the procedure, if all of the following are true of them: Physically and psychologically fit and healthy Bothered by the appearance of their labia Have realistic expectations of what can be achieved by surgery + Consultation Read more The first step for all of our patients is to meet with the surgeon we feel is best placed to perform your procedure for a consultation. At the consultation you will be able to discuss with your surgeon what your hope to achieve from the procedure, as well as discuss in detail what may or may not be possible in terms of results. Your surgeon will examine your labia in order to come to a view of what is realistic in your case. This will take into account the size and structure of your labia, any symptoms you may be experiencing and your own personal desires for the outcome. Finally a comprehensive discussion regarding risks and complications will take place, alongside a discussion regarding the post procedure and recovery phase. Your previous medical history will also be recorded (including previous surgery, medications, allergies etc.) and an assessment of your fitness for surgery. If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two week 'cooling off' period. Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like. The Celikkaya Clinic offer chaperones to patients undergoing intimate examinations. Alternatively, patients are very welcome to bring a friend or a relative with them to consultations should they so wish. + Pre - Procedure Read more If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure. Before admission the following behavioural changes are recommended / required: In the 6 weeks before your procedure we recommend smoking is discontinued as patients who smoke have a higher risk of healing more slowly and complications In the week before your procedure you must cease taking Aspirin or any medication that contains Aspirin In the 6 hours prior to surgery you must not consume food or any drink, other than small sips of clear fluid (e.g. still water, black coffee, black tea) which are allowed up to 2 hours before admission + Day Of The Procedure Read more On the day of your procedure we ask that you arrive for your admission an hour before the agreed start time of surgery. At this point a nurse will come and record blood pressure and other relevant vitals, you will meet with your anaesthetist and your surgeon who will make the final mark-ups. The procedure itself takes place under general anaesthetic over the course of one to two hours, although on occasion it can take place under local anaesthetic. The procedure involves reshaping or reducing the labia either by trimming the edges or removing a section of each labium in the shape of a wedge. The wounds are the stitched up with fine dissolvable stitches. Following the procedure, you will recover in our ambulatory recovery rooms for between one to two hours, dependent on the scale of the procedure. Once our specialist nursing team are happy that your initial recovery is complete and you are safe to return home, you will be allowed to leave the Clinic accompanied by a friend or member of your family. + Post Procedure & Recovery Read more Once home you will have access to our dedicated oncall nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and pain control, and are there to field any questions you may have in the immediate post operative phase. We advise total rest for several days after the procedure, during which time your pain and swelling will subside. We advise against strenuous exercise in the first few weeks, and against sexual intercourse in the first 6 weeks. We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture we also recommend you meet with one of our on site aestheticians to discuss ongoing treatment to support the healing and scarring process. We ask that you come in to see your surgeon after 6 - 8 weeks for a final check up. +What Are The Rısks? Read more Complications are rare although, as with all surgery, possible. Your surgeon will discuss each of these risks comprehensively at your consultation. + Am I Suıtable For a Labıaplasty? Read more Women may be concerned about the shape, size, or symmetry of their labia. Suitability for labiaplasty is decided through a detailed consultation with a surgeon who is experienced in performing labial surgery.

GYNECOMASTY Occasionally breast tissue and fat deposits in men can enlarge resulting in the appearance of male breasts. This is usually due to hormonal reasons (and very rarely due to male breast cancer) and in some cases this can happen for no apparent reason. Whatever the cause, the appearance of male breasts can negatively impact on self-esteem and self-confidence especially if the growth occurs during male adolescence. ​ Although there is no medical treatment for reducing the enlargement of this breast tissue, Gynecomastia is a simple operation that can be performed under either general anaesthetic or sedation and usually takes less than an hour to perform. +How is gynecomasty surgery performed? Read more If the cause of the breast enlargement is due to localised fat tissue, then the procedure will be carried out using liposuction with fine cannulas (leaving no visible scars). If the cause is due to excessive breast glands, the breast tissue will need to be removed using surgery. Dr Celikkaya will be able to advise the patient on the correct procedure for their condition. Most importantly this is a simple surgery and the patient will be able to return to normal, everyday life quickly and with renewed confidence. +Guidelines for surgery Read more The following guidelines apply for all types of surgery Use of all blood thinners should be stopped (under guidance from Dr Celikkaya) Smoking should stop from the date of the operation until 10-14 days after the treatment. Any activities that will increase blood pressure should also be halted. You will be able to return home on the day of your surgery Dr Celikkaya will advise you on the type of anaesthetic and surgery required The Surgery should last less than one hour Any discomfort felt after surgery is comparable to how you might feel after heavy chest exercise using weights The minimum recommended age for this surgery is 18 years old Post-operative care is simple and the main requirement is for the patient to wear a compression garment for 2-3 weeks after the procedure Some bruising and oedema might be experienced in the few days following surgery The result should be visible after three weeks, with the full and final outcome visible within 6 months Unless excessive weight is gained, the outcome is permanent + What is the minimum age for male breast reduction (gynecomastia) surgeries? Read more We generally recommend waiting until 18 years of age for a gynecomastia surgery. Sometimes growing breast tissue that forms due to the hormonal fluctuations in the puberty period will regulate within a few years and growth in the breasts can pass accordingly. +What should be considered before undertaking male breast reduction (gynecomastia) surgery Read more As with all surgical procedures generally, patients should avoid taking blood thinners, limit drinking alcohol and smoking as much as possible and ideally, stop all together in the last couple of days before the surgery. + What factors should be considered after a male breast reduction (gynecomastia) surgery? Read more When gynecomastia surgery is carried out using the liposuction method, a compression garment which surrounds the chest area will need to be worn for 2 to 3 weeks. In the first days after the operation, bruising and swelling due to oedema can be experienced in the chest area, which will disappear within a few weeks. Within about 3 weeks, the full result should be evident. The exact and final results will be visible in 3 to 6 months. + Are the results of male breast reduction surgery (gynecomastia) permanent? Read more The results of male breast reduction surgery (gynecomastia) is permanent and since all the excess fat tissue is discharged, re-surgery is not generally necessary unless the patient gains excess weight.

LIPOSUCTION Body Jet Liposuction Surgery - also known as 'Water Liposuction' or 'Water-assisted liposuction' - is an innovative technique for the removal of unwanted body fat. This procedure makes use of pulses of saline fluids that gently dislodge fat, rather than traditional suction techniques where a cannula is used to dislodge the fat. Your reasons for wanting to have body-jet liposuction will be exactly the same as the reasons for wanting traditional liposuction. The appeal of this particular method is that it helps to keep bruising and swelling to a minimum, and it also makes it easier for the unwanted fat cells to be removed. This is the preferred liposuction method if you are thinking of a Fat Transfer procedure, as this gentle method allows the removed fat cells to be ''harvested'' and transferred to other areas of the body instead of destroyed. Ask your surgeon what areas might benefit from fat transfer following water-assisted liposuction, and what results you can expect. Compared with conventional liposuction methods Water-jet assisted liposuction (WAL) or Body-Jet liposuction removes fat with much less force and a significantly lower risk of side-effects. Even in comparison to other available minimally invasive methods of liposuction such as ultrasound-based technology (Vaser) and laser technology (Smartlipo) where the tumescent or irrigation solution (containing local anaesthetic and other medications) must remain in the body for a certain period of time in order to take effect, this method significantly reduces the side-effects from the medications in the tumescent solution and overall treatment time. This method also has a much lower risk of bruise formation and injury to the sensitive nerve tissues under the skin. In addition, in Water-jet assisted liposuction (WAL) or Body-Jet liposuction keeps the strands of connective tissues responsible for skin tightening largely intact beneath the skin, so the skin tightens and settles quicker. The procedure takes less time than other methods of liposuction meaning recovery can be quicker. All procedures have their advantages and disadvantages, and all of these are very low-risk. In all procedures, thin cannulas (small metal tubes) are inserted through incisions of a few millimetres that are made in discreet areas (e.g. skin folds) and are used to suck the fat in a vacuum process. In most cases, the fat is irrigated using a styptic and analgesic solution. This allows us to re-shape the body contour and to reduce fat accumulations. The skin covering the areas that are undergoing suction remains untouched and will start to shrink because of its elasticity, so that no lasting skin folds remain. An existing cellulitis might possibly be reduced, too. The removal of distressing fat accumulations and the modelling of respective body parts will make the body look more slender and proportions more harmonious. However, liposuction is no alternative to weight loss, nor is it a treatment for obesity. It is not the whole person that can be made slimmer, but only individual areas where there is a strong accumulation of fat. Furthermore, if skin has become too sagging, the removal of excessive skin might become necessary together with the removal of fatty tissue. +Does liposuction allow for any amount of fat to be removed? Read more It is not advisable to remove large amounts of fat through suction. Usually, the limit is between 3-4 litres. Each patient should have realistic expectations regarding the results that can be achieved through liposuction. Localized fat deposits can be removed optimally in skin that is still elastic. Once the skin has been strongly overstretched or once there are no longer sufficient elastic fibres, an aesthetically satisfying result can only be achieved by surgically removing excess fat and skin, and then one will have to accept ensuing scars (thigh lift, abdominoplasty, body lift). +What are the complications that can occur in liposuction? Read more The liposuction performed by an experienced surgeon at is a very low-risk procedure, still, skin retractions and irregular contours (dimples) cannot be excluded. Haematomas that are sometimes caused by liposuction disappear within a few weeks. +Important things to know – liposuction Read more In order to achieve an optimum result, a special compression garment will have to be worn for 4-6 weeks after surgery. +Do I need general anesthesia for a liposuction and how long do I have to stay in hospital? Read more Smaller fat deposits can be removed under local anesthesia. For larger amounts, additional twilight anesthesia is recommended during liposuction. Here, sleep and pain killer medication are introduced into a vein, the patient is relaxed, anxiety-free and in a state of twilight sleep and does not feel any or only very little pain. The advantage of this approach is that all the body’s defensive reflexes are still active and that a muscle injury during liposuction can be safely prevented. General anesthesia is only used in very comprehensive interventions, which usually require short-term hospitalisation. All other forms of liposuction are performed as in-office procedure. + Recovery Read more After the procedure, you will recover in the capable hands of our aftercare team. As we are a day-case facility you can expect your recovery to be complete within 2 to 3 hours. If your surgeon is happy with your results, you will be able to be discharged from the Clinic the very same day. In some cases, patients may wish to stay locally in our exclusive partner hotel the day before or after your procedure in order to be close to their surgeon. Talk to us about these options if this is for you.