The Philosophy of Dr. Nazim CERKES in Rhinoplasty

Rhinoplasty is the most challenging surgery in all aesthetic operations. The best results in rhinoplasty are those in which the nose simply appears natural and aesthetically in harmony with the face. The philosphy of Dr.Cerkes in this surgery: Rhinoplasty is not a routine reduction procedures of the nose, it is rather a balancing procedure to improve both function and aestetics. With his gentle and atraumatic technique his surgery is completely painless and with less bruising. He never needs to put intranasal package to his patients using his atraumatic special technique

Preservation or correction of nasal function is essential in rhinoplasty operation. If there is a deviation in nose skeleton it must be corrected during the surgery. In rhinoplasty operation every attempt should be done to preserve nasal function. Dr. CERKES's special techniques are based on preservation of nose cartilages during hump removal. with this techniques any functional problems does not occure after the surgery.

Dr. Nazim CERKES has not been used intranasal package in his rhinoplasties in the last 20 years. With his special techniques he preserves intranasal skin. In cases with deviation he approximates both nasal skin with sutures. This gives extra comfort to the patient after the surgery, facilitates healing and eliminates post operative discomfort.

Cast on the nose is removed after 6 - 7 days, small tapes are placed after cast removal for 2-3 days. All bruising sweelings will disapear after a week. The patients can return to his/ her normal life and work after 9-10 days. Normally patients coming from abroad may fly back 7 days after surgery.

İn male patients principles and planning of a rhinoplasty operation is different the size of the nose should not be over reduced, the nose should not be thinned too much and the tip of the nose should not be over rotated which may give a feminizing effect.

Revision rhinoplasty is the most chalenging surgery in all aesthetic operations. Which require a large experience, knowlodge and skill. The goal of the revision surgery is to correct nasal function and improve the aesthetic appearance. Several deformities can be seen in revisinal cases. In over reduced noses generally cartilage grafts from rib or ear  are needed.

These grafts are used to replace missing tissues Dr. Nazim CERKES is a very experienced surgeon in revision rhinoplasty. Many plastic surgeons from all over the world refer him their complicated cases.

Natural results in facial rejuvenation surgery

The best results in face lift operations the ones looks natural and does not appear operated

The goal of face lift operations is to suspend the descended soft tissues to their original position. The most common mistakes in facial rejuvenation surgeries are over suspension of soft tissues and over resection of skin. This kind of operations can result in with unnatural outcomes.

In facial operations the face is evaluated in three zones:

Forehead, mid face and neck.In every individual aging pattern is different. For example while in a patient a neck deformity is more pronounced in another patient mid face deformitiy can be more visible. So in every patient the aging pattern should be evaluated carefully and the surgery should be customised depending on deformities present.

The most natural outcomes in facial rejuvenation surgery

The most natural outcomes can be achieved with a surgery which corrects the aging effects in an harmony In majority of patients suspension of all zones is required to obtain an harmonic result. Face rejuvenation operations are not a skin resection surgery. Over resections from face skin and over suspension of facial soft tissues may end up with an unnatural result.

With use of endoscopic techniques in face rejuvenation surgery is useful with shorter healing time and shorter scars.

Endoscopic techniques is particularly useful in forehead and mid face rejuvenation. Forehead ,eyebrows and mid face lifting can be performed through three 2 cm long incisions in scalp. The technique offers a better visibility to the surgeon and allows a bloodless operation. Since the surgery is performed with very short incisions the patients can be discharged on the same day of the surgery and can return to their normal life within a week. 

Descent of midface tissues with aging results in perniation of lower eyelid fat bags and tear through deformity. In many of the patients who admit for lower eyelid fat bag correction midface lift is necessary to achieve a more natural, predictable consistent results. Midface tissues can be dissected and suspended with sutures to an higher position. This techniques supports the lower eyelid corrects tear through deformity and diminishs the need of fat removal from eye bags.

In majority of the patients a combined approach is required for a more harmonic result. The surgery is planned depending on deformities available in the patient. Forehead and midface is lifted using endoscopic techniques and neck is corrected using an incision in front of ear. The descended neck tissues is suspended and bands on the neck is corrected using sutures. Except very heavy necks a short incision in front of ear is sufficient to correct these neck problems. With the correction of all facial zones more harmonic and beautiful results can be achieved.