﻿{"id":150045,"date":"2015-11-20T11:49:21","date_gmt":"2015-11-20T09:49:21","guid":{"rendered":"http:\/\/www.erzurumflas.com\/buyuk-gogusler-pisik-problemine-sebep-oluyor\/"},"modified":"2015-11-20T11:49:23","modified_gmt":"2015-11-20T09:49:23","slug":"buyuk-gogusler-pisik-problemine-sebep-oluyor","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com\/?p=150045","title":{"rendered":"B\u00fcy\u00fck G\u00f6\u011f\u00fcsler Pi\u015fik Problemine Sebep Oluyor"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/11\/buyuk-gogusler-pisik-problemine-sebep-oluyor_65bc405.jpg\" width=\"600\">Prof. Dr. Ufuk Bilkay, b\u00fcy\u00fck g\u00f6\u011f\u00fcslerin pi\u015fik problemine sebep oldu\u011funu s\u00f6yledi.<\/p>\n<p>Normalden b\u00fcy\u00fck olan memelerin (makromasti, gigantomasti) ki\u015fiye psikolojik bir tak\u0131m rahats\u0131zl\u0131klar\u0131n yan\u0131 s\u0131ra, b\u00fcy\u00fck memelerin a\u011f\u0131rl\u0131\u011f\u0131na ba\u011fl\u0131 olarak; omuzlarda s\u00fctyen ask\u0131s\u0131 izlerinden dolay\u0131 \u00e7\u00f6k\u00fckl\u00fck, s\u0131rt a\u011fr\u0131lar\u0131, sark\u0131k memenin alt\u0131nda s\u00fcrekli terlemeye ba\u011fl\u0131 ka\u015f\u0131nt\u0131, pi\u015fik ve k\u00f6t\u00fc kokuya neden oldu\u011funu dile getiren Prof. Dr. Ufuk Bilkay, \u201cBu nedenle normalden b\u00fcy\u00fck ve sarkm\u0131\u015f memeleri daha k\u00fc\u00e7\u00fck boyuta getirmek i\u00e7in yap\u0131lan meme k\u00fc\u00e7\u00fcltme esteti\u011fi (red\u00fcksiyon mammoplasti), estetik ameliyat olmas\u0131n\u0131n yan\u0131nda, hastaya fiziksel bir rahatlama sa\u011flar, ki\u015finin nefes almas\u0131 d\u00fczene girer, hareket kabiliyetini artt\u0131r\u0131r, omuz ve sirt agrilari kaybolur. Bu durum dikkate al\u0131nd\u0131\u011f\u0131nda meme k\u00fc\u00e7\u00fcltme esteti\u011fi ayn\u0131 zamanda fonksiyonel bir ameliyatt\u0131r\u201d dedi.<\/p>\n<p>G\u00d6\u011e\u00dcS K\u00dc\u00c7\u00dcLTME ESTET\u0130\u011e\u0130 KA\u00c7 YA\u015eINDA YAPILAB\u0130L\u0130R?<\/p>\n<p>Memelerin b\u00fcy\u00fcmesini 18-21 ya\u015flar\u0131 aras\u0131nda tamamlad\u0131\u011f\u0131n\u0131 kaydeden Prof. Dr. Ufuk Bilkay, \u201cBu nedenle t\u0131bbi a\u00e7\u0131dan genellik 20 ya\u015f civar\u0131nda yap\u0131labilir. Virjinal hipertrofi dedi\u011fimiz; \u00e7ok erken ya\u015flarda memenin a\u015f\u0131r\u0131 b\u00fcy\u00fckl\u00fc\u011f\u00fc durumlar\u0131nda, memenin a\u015f\u0131r\u0131 b\u00fcy\u00fckl\u00fc\u011f\u00fc ki\u015finin fiziksel aktivitesini ve g\u00fcnl\u00fck ya\u015fant\u0131s\u0131n\u0131 belirgin bir \u015fekilde engelliyorsa, 20 ya\u015f alt\u0131nda meme k\u00fc\u00e7\u00fcltme ameliyat\u0131 yap\u0131lmak durumunda kal\u0131nabilir, 20 yas alt\u0131nda yap\u0131l\u0131rsa memelerinin ameliyattan sonra da bir miktar b\u00fcy\u00fcmeye devam edebilece\u011fi ki\u015fiye s\u00f6ylenmelidir\u201d dedi.<\/p>\n<p>G\u00d6\u011e\u00dcS K\u00dc\u00c7\u00dcLTME AMEL\u0130YATI S\u00dcT VERMEYE ENGEL OLURMU?<\/p>\n<p>Meme dokusunun ya\u011flardan ve s\u00fct bezlerinden olu\u015ftu\u011funu s\u00f6yleyen Prof. Dr. Ufuk Bilkay, \u201cS\u00fct bezleri daha \u00e7ok orta b\u00f6l\u00fcmde bulunmakla berbaber genellike ya\u011f dokusu ve s\u00fct bezleri memenin i\u00e7inde birbirine kar\u0131\u015fm\u0131\u015f ve yayg\u0131n \u015fekilde bulunurlar. K\u00fc\u00e7\u00fcltme ameliyat\u0131 yap\u0131l\u0131rken de hem ya\u011f dokusu hem de s\u00fct bezleri ve s\u00fct kanallar\u0131 beraberce al\u0131nmaktad\u0131r. Orta b\u00f6lgeyi daha \u00e7ok koruyarak yap\u0131lan meme k\u00fc\u00e7\u00fcltmelerde s\u00fct salg\u0131s\u0131 daha fazla korunmakla birlikte, s\u00fct salg\u0131s\u0131n\u0131n teorik olarak ortalama %50 oran\u0131nda azald\u0131\u011f\u0131 kabul edilmektedir\u201d dedi.<\/p>\n<p>G\u00d6\u011e\u00dcS K\u00dc\u00c7\u00dcLTME ESTET\u0130\u011e\u0130N\u0130N AMACI NED\u0130R?<\/p>\n<p>Prof. Dr. Ufuk Bilkay, Meme k\u00fc\u00e7\u00fcltme esteti\u011finin (red\u00fcksiyon mammoplasti) amac\u0131n\u0131n normalden b\u00fcy\u00fck ve sarkm\u0131\u015f olan memeleri normal boyutlara getirmek ve dikle\u015ftirmek oldu\u011funu bu s\u0131rada meme ba\u015f\u0131n\u0131n etraf\u0131ndaki areola denilen renkli k\u0131s\u0131m da k\u00fc\u00e7\u00fclt\u00fclerek yeni olu\u015fturulacak memeye uygun boyutlara getirildi\u011fini anlatt\u0131.<\/p>\n<p>G\u00d6\u011e\u00dcS K\u00dc\u00c7\u00dcLTME ESTET\u0130\u011e\u0130NDE \u0130Z KALIRMI?<\/p>\n<p>Prof. Dr. Ufuk Bilkay, a\u00e7\u0131klamas\u0131n\u0131 \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc; \u201cMeme k\u00fc\u00e7\u00fcltme esteti\u011fi ameliyat\u0131nda ( red\u00fcksiyon mammoplasti ) yeni olu\u015fturulan memede, uygulanan de\u011fi\u015fik tekniklere ba\u011fl\u0131 olarak \u00e7e\u015fitli \u015fekilde kal\u0131c\u0131 izler meydana gelmektedir. Ba\u015flang\u0131\u00e7ta bu izler k\u0131zar\u0131k ve belirgin olabilir, fakat zamanla solarak daha belirsiz hale gelecektir.<\/p>\n<p>G\u00d6\u011e\u00dcS K\u00dc\u00c7\u00dcLTME HAM\u0130LEL\u0130\u011e\u0130 ETK\u0130LERM\u0130?<\/p>\n<p>Meme k\u00fc\u00e7\u00fcltme esteti\u011fi, genellikle art\u0131k \u00e7ocuk sahibi olmay\u0131 d\u00fc\u015f\u00fcnmeyen bayanlarda yap\u0131lmaktad\u0131r. Ancak memeler genellikle gen\u00e7 k\u0131zl\u0131k \u00e7a\u011f\u0131nda ve a\u015f\u0131r\u0131 olarak b\u00fcy\u00fcmektedir. Yaratt\u0131\u011f\u0131 \u015fikayetler bazen o kadar fazlad\u0131r ki, ameliyat olmak i\u00e7in hamilelik sonras\u0131n\u0131 beklemek \u00e7ok m\u00fcmk\u00fcn olmaz. B\u00f6yle durumlarda e\u011fer hamilelik \u00f6ncesi meme k\u00fc\u00e7\u00fcltme ameliyat\u0131 olmu\u015fsan\u0131z, bu ameliyat hamilelik d\u00f6neminde bir soruna neden olmaz. Bilinmesi gereken \u015fey do\u011fumdan sonra s\u00fct salg\u0131n\u0131z\u0131n azalmas\u0131na neden olaca\u011f\u0131d\u0131r.<\/p>\n<p>G\u00d6\u011e\u00dcS K\u00dc\u00c7\u00dcLTME AMEL\u0130YATI HANG\u0130 TEKN\u0130KLE YAPILMAKTADIR?<\/p>\n<p>Meme k\u00fc\u00e7\u00fcltme esteti\u011finde ( red\u00fcksiyon mammoplasti ) se\u00e7ilecek teknik, memelerin b\u00fcy\u00fckl\u00fc\u011f\u00fcne, \u015fekline, sarkma derecesine ve cerrah\u0131n tecr\u00fcbesine ba\u011fl\u0131 olarak de\u011fi\u015fir. Ameliyat s\u0131ras\u0131nda meme ba\u015f\u0131n\u0131n kan dola\u015f\u0131m\u0131 korunarak, se\u00e7ilen tekni\u011fe g\u00f6re memenin yanlar\u0131ndan ve alt taraf\u0131ndan veya yanlar\u0131ndan ve \u00fcst b\u00f6lgelerinden sut bezi ve ya\u011f dokular\u0131 \u00e7\u0131kart\u0131larak memenin hacmi k\u00fc\u00e7\u00fclt\u00fcl\u00fcr. Meme ba\u015flar\u0131 normalde olmas\u0131 gereken meme alt\u0131 \u00e7izgisi seviyesine ta\u015f\u0131n\u0131r. Ameliyat sonunda se\u00e7ilen tekni\u011fe g\u00f6re; meme ba\u015f\u0131 etraf\u0131nda, meme ba\u015f\u0131ndan a\u015fa\u011f\u0131 do\u011fru dik uzanan, bazen de bunlara ek olarak meme alt\u0131 \u00e7izgisi boyunca yatay uzanan izler olu\u015facakt\u0131r.<\/p>\n<p>Son d\u00f6nemlerde daha az iz b\u0131rakma amac\u0131 ile, meme alt\u0131 \u00e7izgisi boyunca kesi yapmadan meme k\u00fc\u00e7\u00fcltme ameliyat\u0131 yapabilmeye olanak sa\u011flayan \u2018vertikal mammoplasti\u2019 tekni\u011fi pop\u00fcler hale gelmi\u015ftir. Vertikal mammoplasti de ters T \u015feklinde iz yerine meme ba\u015f\u0131n\u0131n etraf\u0131nda ve meme ba\u015f\u0131ndan a\u015fa\u011f\u0131 inen dik bir iz olu\u015fur. Ancak bu teknik \u00e7ok b\u00fcy\u00fck memelere uygulanamamaktad\u0131r. Genelde a\u015f\u0131r\u0131 b\u00fcy\u00fck olmayan, deri elastikiyeti iyi olan memelerde vertikal mammoplasti tekni\u011fini tercih etmekteyiz.<\/p>\n<p>G\u00d6\u011e\u00dcS K\u00dc\u00c7\u00dcLTME AMEL\u0130YATI ZOR B\u0130R AMEL\u0130YATMIDIR?<\/p>\n<p>G\u00f6\u011f\u00fcs k\u00fc\u00e7\u00fcltme ameliyat\u0131 genel anestezi ile yap\u0131lan se\u00e7ilecek tekni\u011fe ve memelerin b\u00fcy\u00fckl\u00fc\u011f\u00fcne g\u00f6re yakla\u015f\u0131k 2-3 saat s\u00fcren bir ameliyatt\u0131r. S\u00fcresi uzun gibi g\u00f6r\u00fcnmekle beraber, ameliyat sonras\u0131 genellikle rahat ge\u00e7en bir ameliyatt\u0131r. \u00c7ok \u015fiddetli a\u011fr\u0131lar olmaz. \u0130lk 3-4 g\u00fcn hafif \u015fiddetle a\u011fr\u0131lar olabilir ancak a\u011fr\u0131 kesici ila\u00e7la rahatlars\u0131n\u0131z. Genellikle 4. G\u00fcn den sonra g\u00fcnl\u00fck aktivitelerinizi yapabilir hale gelirsiniz, ancak bu d\u00f6nemde d\u00fczenli olarak pansuman pansuman yap\u0131lmaya devam edilir.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PROF. DR. UFUK B\u0130LKAY, B\u00dcY\u00dcK G\u00d6\u011e\u00dcSLER\u0130N P\u0130\u015e\u0130K PROBLEM\u0130NE SEBEP OLDU\u011eUNU S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[12686,23541,15831,27726,27727,14964],"class_list":["post-150045","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-buyuk","tag-gogusler","tag-oluyor","tag-pisik","tag-problemine","tag-sebep"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/150045","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=150045"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/150045\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=150045"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=150045"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=150045"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}