Publications by authors named "Ufuk Askeroglu"

9 Publications

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Trinity Lift: A Unique Technique for Endoscopic Midface and Lower Periorbital Unit Lift.

Aesthetic Plast Surg 2021 Jan 15. Epub 2021 Jan 15.

Ozgur Pilanci Private Clinic, Istanbul, Turkey.

Introduction: A harmonious face is defined in terms of a balanced relationship among all facial tissues. This balance among skin, fat, muscle, and bone is lost with aging as progressive changes occur in their volume, shape, position, and consistency. Aging of the human face generally starts in the third decade of life, mainly in the midface and periorbital areas. Traditional face-lifting surgeries result in minimal improvements in the midface area. Various techniques have been developed using different dissection planes and vectors with different forms of incision, including endoscopic techniques.

Methods: We attempted to combine endoscopic subperiosteal dissection techniques with the percutaneous needle technique, especially in young- to middle-aged patients. We aim to share technical details of our preferred suspension and fixation method for an endoscopic midface lift with the aid of a percutaneous needle and to present the outcomes of this particular technique in 75 patients.

Results: Significant rejuvenation of the nasojugal groove was achieved, and patient satisfaction was high. All cases exhibited satisfactory, symmetrical, and stable elevation of the midface. None of the patients required a second surgery.

Conclusion: Trinity lift allowed for stronger, easier, and faster application of sutures during endoscopic facial surgery without any other mucosal or transcutaneous incisions.

Level Of Evidence Iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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http://dx.doi.org/10.1007/s00266-021-02126-5DOI Listing
January 2021

A New Perspective to the Periorbital Aesthetics: Bella Eyes.

Aesthetic Plast Surg 2019 12 1;43(6):1564-1569. Epub 2019 Oct 1.

, Istanbul, Turkey.

Introduction: The term beautiful eyes can be defined as youthful, brilliant, vivid, and attractive eyes. The anthropometric findings about beautiful eyes may differ according to gender or race. In order to form such a beautiful eye, a variety of surgical, nonsurgical, or combination methods for periorbital region rejuvenation have been proposed. The surgical methods include coronal/peritrichial, endoscopic, upper and lower eyelid, or transconjunctival incisional procedures. Neuromodulators, fillers, and laser treatments are some of the nonsurgical approaches. Regardless of the method, while treating this particular area, the aesthetic unit concept should always be taken into consideration.

Methods: We attempted to combine an endoscopic dynamic canthopexy procedure with endoscopic temporal and brow lift, which we call "bella eyes" to achieve a more attractive look, especially in young people who desire a slanted eyelid. We aim to share our clinical experience from 35 patients and the technical details of the bella eyes procedure.

Results: Patient satisfaction was high, and the endoscopic technique eliminated all of the minor deformities and provided excellent harmony through each subunit of the periocular area with minimal discomfort and well-hidden scars.

Conclusion: We believe that this procedure is a good way to achieve a beautiful eye in young women.

Level Of Evidence Iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
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http://dx.doi.org/10.1007/s00266-019-01497-0DOI Listing
December 2019

Preventing Suture Extrusion and Recurrence in Mustarde and Furnas Otoplasties by Using Laterally Based Postauricular Dermal Flap, Long-Term Results.

J Craniofac Surg 2016 Sep;27(6):1476-80

*Department of Plastic, Reconstructive and Aesthetic Surgery, Bagcilar Training and Research Hospital, Istanbul†Department of Plastic, Reconstructive and Aesthetic Surgery, Bilecik State Hospital, Bilecik‡Department of Plastic, Reconstructive and Aesthetic Surgery, Erzincan University Mengucek Gazi Training and Research Hospital, Erzincan§Department of Plastic, Reconstructive and Aesthetic Surgery, Gumushane State Hospital, Gumushane||Department of Plastic, Reconstructive and Aesthetic Surgery, Sisli Etfal Training and Research Hospital¶Department of Plastic, Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital#Department of Plastic, Reconstructive and Aesthetic Surgery, Medipol University Medical Faculty, Istanbul, Turkey.

Background: Prominent ear deformity (PD) is an unacceptable condition of pinna that affects 5% of the population and is associated with emotional stress, behavioral disturbances, and social restrictions in relationships. Conchal hypertrphy, inadequate formation of antihelical fold, earlobe placement ahead than it should be, or various combinations of these changes are main characteristics of PD. Many surgical techniques have been described for the PD.The authors' aim was to present laterally based postauricular dermal flap combination with cartilage-sparing methods and effectiveness of this technique in suture extrusion prevention and reducing the rate of recurrence with long-term results.

Methods: Forty-one patients had bilateral and 6 patients had unilateral PD, a total of 47 patients with a mean age of 14.48 were operated by using this combined procedure. A laterally based supraperichondrial dermal flap was prepared from a deepithelized elliptical postauricular incision. Mustarde and Furnas suture techniques were used solely for PD correction. The dissected laterally based dermal flap was fixed to the mastoid bone with sutures in stretched position after reshaping the auricular cartilage with sutures.

Results: The average helix-mastoid distance was (mm) 16.28 ± 2.36, concha-mastoid angle was 25.71 ± 0.96° on 12-month measurements. The helix-mastoid distance showed an increase of 1 to 3 mm, in the concha-mastoid angle measurements of 1° to 2°. Statistically significant changes were observed between the average preoperative, postoperative 1. month, postoperative 12. month helix-mastoid distances (mm), and month concha-mastoid angle (°) measurements (P = 0.0001).

Conclusions: The laterally based postauricular dermal flap technique is an effective method to prevent suture extrusion and recurrence which are the most important complications of otoplasty procedure and easy to apply.
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http://dx.doi.org/10.1097/SCS.0000000000002832DOI Listing
September 2016

The Impact of Age Upon Healing: Absolute Quantification of Osteogenic Genes in Calvarial Critical-Sized Defects.

J Craniofac Surg 2016 Jan;27(1):258-63

*Department of Plastic Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio†Lurie Children's Hospital of Chicago, Northwestern University, Chicago, Illinois.

Background: The current study was performed to elucidate changes in growth factor expression over time in critical-sized calvarial defects in rats from infancy to skeletal maturity.

Materials And Methods: Critical-sized parietal defects of 5, 6, and 8 mm were created in postnatal day 6 (P6), postnatal day (P20), and postnatal day (P84) adult rats, respectively. Dura was harvested at 3, 7, or 14 days after surgery, and serial micro-computed tomography imaging was performed through 12 weeks postoperatively. Absolute quantitative polymerase chain reaction was performed for Bone Morphogenic Protein-2 (BMP-2), Fibroblast Growth Factor-2 (FGF-2), Insulin-like Growth Factor-1 (IGF-1), and Transforming Growth Factor-β1 (TGF-β).

Results: The P6 (6-d-old) rats showed the greatest difference in gene expression between the dura derived from the defect side and the dura derived from the control side, demonstrating significant differences in TGF-β1, BMP-2, IGF-1, and FGF-2 at various time intervals. Absolute gene expression in the defect dura was highest in the P6 rats and declined with age. Significant differences were noted at limited time points in the P20 rats for TGF-β1 and BMP-2 as well as in the P84 rats for TGF-β1. TGF-β1 was the only gene studied that showed significant differences at postoperative days 3, 7, and 14 in varying age groups.

Conclusions: The P6 rats have a higher osteogenic potential accompanied by a more vigorous alteration in growth factor expression compared with the P20 or P84 rats. Decrease in BMP-2 and FGF-2 as well as relative increase in TGFβ-1 messenger RNA were observed in healing defects. These data provide valuable insight into the mechanism of healing of critical-sized defects and may be of use to engineer factor-releasing implants to correct skull defects.
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http://dx.doi.org/10.1097/SCS.0000000000001313DOI Listing
January 2016

A practical guiding method for vein graft harvesting.

J Hand Microsurg 2013 Dec 10;5(2):86. Epub 2013 Apr 10.

Department of Plastic Reconstructive and Hand Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey.

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http://dx.doi.org/10.1007/s12593-013-0095-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3827653PMC
December 2013

New otoplasty approach: a laterally based postauricular dermal flap as an addition to Mustarde and Furnas to prevent suture extrusion and recurrence.

Aesthetic Plast Surg 2014 Feb 8;38(1):83-89. Epub 2014 Jan 8.

Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey.

Prominent ear is the most common deformity of the external ear. The major causes can be an underdeveloped antithetical fold, concha hypertrophy, and prominence of the ear lobule. Since Ely's first aesthetic correction of the prominent ear in 1881, more than 200 different techniques have been described, but the choice of procedure still remains the surgeon's preference. This report presents the laterally based posterior auricular dermal flap technique as an adjunct to the conventional cartilage-sparing otoplasty. An elliptical skin incision was planned according to the classic prominent ear correction technique. Instead of the excision, skin was deepithelialized. From the inferior border of the incision, the dermal flap was incised and elevated in a medial-to-lateral direction. The posterior auricular dermal flap was used to support and cover the suture material. This method was used in the treatment of 17 consecutive patients. After a follow-up period of 6-32 months (mean 16 months), the patients were evaluated in terms of the recurrence and suture line problems. No suture line problems or recurrences were observed at the end of the follow-up period. Use of the posterior auricular dermal flap both prevents suture extrusion and decreases recurrences. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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http://dx.doi.org/10.1007/s00266-013-0269-zDOI Listing
February 2014

Herbal products that may contribute to hypertension.

Plast Reconstr Surg 2013 Jan;131(1):168-173

Cleveland, Ohio From the Department of Plastic Surgery, Case Western Reserve University.

Background: The role of hypertension in the incidence of postoperative hematoma has been well documented. A large number of patients who undergo aesthetic surgery consume a variety of herbal products, some of which may cause or exacerbate hypertension. The purpose of this study was to review the herbal products that are known to cause hypertension and thus may play a role in postoperative complications.

Methods: The MEDLINE and PubMed databases were searched for articles published from 1991 to 2011. Search terms included "hypertension," "herbal supplements," "herbals and hypertension," "blood pressure," and "dietary supplements." References from reviews about herbal products and hypertension were searched for additional articles and case reports. A manual search was also conducted based on citations in the published literature.

Results: Of 56 articles that were found to be related to herbal supplements that contribute to hypertension, 27 were excluded because of insufficient demonstration of the association or duplication. Twenty-nine articles, which examined the cause, pathophysiology, and risk factors of hypertension in addition to herbals, were included. In addition, four books were reviewed that contained some information regarding the association of hypertension and herbal products. The herbal products that may cause hypertension include arnica, bitter orange, blue cohosh, dong quai, ephedra, ginkgo, ginseng, guarana, licorice, pennyroyal oil, Scotch broom, senna, southern bayberry, St. John's wort, and yohimbine.

Conclusion: This study lists the herbal products that may cause hypertension and should be considered when a patient undergoes plastic surgery to reduce perioperative morbidity related to the herbal supplements.
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http://dx.doi.org/10.1097/PRS.0b013e318272f1bbDOI Listing
January 2013

Pharmaceutical and herbal products that may contribute to dry eyes.

Plast Reconstr Surg 2013 Jan;131(1):159-167

Cleveland, Ohio From the Department of Plastic Surgery, Case Western Reserve University.

Background: Symptomatic dryness of the eyes is a most common blepharoplasty complication. The authors reviewed the medications and herbal products that may potentiate this complication.

Methods: The MEDLINE and PubMed databases were searched for the years 1991 to 2011. Search terms included "dry eye syndrome," "keratitis sicca," "keratoconjunctivitis sicca," "ocular side effects," "herbal supplements," "herbals and dry eye," "dry eye risk factors," "etiology of dry eye," "drugs side effects," "drugs and dry eye," "dietary supplements," "ocular toxicity," and "tear film." References from herbal product reviews and eligible medication reports were searched for additional articles. A manual search was also conducted based on citations in the published literature.

Results: Of 232 articles found to be related to dry eye syndrome and possible risk factors, 196 were excluded because they did not discuss medications or herbal products as risk factors in dry eye syndrome. Thirty-six articles that examined the pathophysiology and risk factors of dry eye were included. Nine books were reviewed that contained some information regarding the association of medications and herbal products with dry eye. These agents were then categorized based on mechanism of action and usage. Medications listed include antihistamines, decongestants, antidepressants, anticonvulsants, antipsychotics, antiparkinson drugs, beta-blockers, and hormone replacement therapy. The three main herbal products that contribute to dry eye are niacin, echinacea, and kava. There was a strong association between anticholinergic alkaloids and dry eye.

Conclusion: This study identifies the medications and herbal products that should be considered when a patient undergoes blepharoplasty and complains of symptoms associated with dryness of the eyes.
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http://dx.doi.org/10.1097/PRS.0b013e318272a00eDOI Listing
January 2013

An unusual complication following eyelid ptosis surgery: superior rectus paralysis.

J Plast Reconstr Aesthet Surg 2011 Aug 16;64(8):e201-4. Epub 2011 Apr 16.

Department of Plastic and Reconstructive Surgery, Okmeydani Education and Research Hospital, Sisli, Istanbul, Turkey.

Blepharoptosis (ptosis) is one of the most common eyelid disorders encountered in ophthalmology. Several procedures have been developed to correct ptosis. The most common complications of ptosis surgery are well defined in the literature. Herein, we report a rare complication of superior rectus muscle paralysis following levator resection surgery for a blepharoptosis. Surgeons may well be aware of its occurrence.
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http://dx.doi.org/10.1016/j.bjps.2011.03.035DOI Listing
August 2011