Facial Aesthetics
Preserving Proportion, Symmetry and Natural Expression in Facial Aesthetics
Facial aesthetics includes surgical procedures that evaluate the effects of aging, genetic characteristics, gravity, sun damage, facial expression use and changes in tissue volume on facial appearance. Since the nose, eye area, eyebrows, forehead, temples, lips, cheeks, jawline and neck are related to each other, planning is not made only through a single area.
In the evaluations performed by Prof. Dr. Osman Kelahmetoğlu at his clinic in Istanbul Şişli / Nişantaşı, the aim is not to transform the face into a different identity, but to create a more balanced, rested and natural appearance while preserving the person’s unique facial character. The surgical plan is determined according to facial anatomy, bone structure, skin quality, tissue laxity, facial expression characteristics and the person’s expectations.
What Is Facial Aesthetics?
Facial aesthetics is a broad field of plastic surgery that evaluates shape differences in certain facial areas, signs of aging, tissue sagging and functional problems. Rhinoplasty, eyelid surgery, face and neck lift, brow lift, temple lift, lip aesthetics and ear aesthetics are included in this field.
In successful planning, the goal is not only to reduce lines or lift tissues upward. The proportions between the upper, middle and lower parts of the face, the naturalness of facial expressions and the person’s general facial character are evaluated together.
Holistic Facial Analysis
The forehead, eyebrows, eye area, midface, jawline and neck are examined not independently from each other, but within a shared aesthetic harmony.
Personalized Surgical Plan
The technique to be applied is determined according to age, bone structure, skin quality, tissue laxity and the person’s expectations.
In Which Situations Can Facial Aesthetics Be Considered?
Facial aesthetic procedures may be considered to correct congenital shape differences, reduce age-related changes or address functional problems such as breathing and visual field issues.
- The nose shape being incompatible with facial proportions
- Structural deviations inside the nose that affect breathing
- Excess skin forming on the upper eyelids
- Bags or hollowness under the eyes
- Downward displacement of the eyebrows and forehead tissues
- Sagging in the cheeks, jawline and neck area
- Lengthening of the upper lip distance or lip asymmetry
- The angle between the ears and the head being noticeable
- A noticeable difference between the right and left sides of the face
Not every sign of aging is treated with the same method
Skin quality, volume loss, and laxity in muscles and connective tissues are different problems. Therefore, surgical and non-surgical options should be evaluated separately according to the person’s needs.
Rhinoplasty and Facial Profile
Rhinoplasty is a surgical procedure that aims to regulate the proportion between the shape of the nose and the other areas of the face. Since the nose is located in the center of the face, its relationship with the forehead, lips and chin directly affects the profile appearance.
During planning, the nasal bridge, nasal tip, nostrils, skin thickness, bone and cartilage structure are evaluated together. In people with breathing difficulty, septum deviation inside the nose and airway problems are also included in the same evaluation.
Aesthetic Balance
The aim is for the nose to achieve a form that does not dominate the face and is compatible with the forehead, lips and chin structure.
Functional Evaluation
Deviations inside the nose, airway narrowing and breathing complaints can be addressed together with the aesthetic plan.
The same nose shape is not applied to every face
The goal in rhinoplasty is not to create a standard appearance, but to plan a result that is compatible with the person’s skin structure and facial proportions.
Eyelid Surgery
Eyelid surgery, or blepharoplasty, includes the evaluation of excess skin on the upper eyelids, bags on the lower eyelids and signs of aging around the eyes.
Excess skin on the upper eyelid may create only a tired appearance in some people, while in advanced cases it may also affect the visual field. In the lower eyelid, fat bags, skin laxity and hollowness in the transition area called the tear trough can be evaluated together.
The scope of eyelid surgery is not limited only to removing excess skin. Preserving, repositioning fat tissue and balancing the transitions around the eyes are important for a natural appearance.
Upper Eyelid
Excess skin that creates heaviness on the eyelid and, when necessary, prominent fat tissues are evaluated.
Lower Eyelid
Under-eye bags, skin laxity and the transition between the cheek and eyelid are considered together.
The eye area is one of the most delicate areas of the face
The surgical plan should be created by considering eyelid closure function, eye dryness, eyebrow position and the existing eye structure.
Almond Eye Aesthetics
Almond eye aesthetics includes surgical procedures that aim to regulate the position of the outer corner of the eye and lower eyelid support according to the person’s existing eye anatomy.
This procedure is not performed to create the same slanted eye appearance in everyone. The structure of the eyelid, the position of the outer corner, the eyebrow tail, the ligaments around the eyes and the general proportions of the face are evaluated together.
Outer Corner of the Eye
The position and support of the outer corner of the eye are evaluated while preserving the anatomical structure.
Eyebrow and Temple Relationship
The position of the eyebrow tail and temple tissue may directly affect the general appearance around the eyes.
In planning for an almond eye appearance, intervening only on the eyelid may not be sufficient. If drooping of the eyebrow tail or laxity in the temple area accompanies the condition, a combined approach may be required.
Brow and Forehead Aesthetics
Brow and forehead aesthetics includes the evaluation of eyebrow position, forehead lines and tissue laxity in the upper face area together. Downward displacement of the eyebrows may make the eye area look heavier and make excess skin on the upper eyelid more noticeable.
Brow lift and forehead lift procedures may be planned with classical, endoscopic or limited-incision methods. The technique to be used is determined according to forehead height, hairline, eyebrow shape, skin quality and the degree of laxity.
Regulation of Eyebrow Position
The entire eyebrow or only its outer part may be repositioned in a way that is compatible with the natural structure of the face.
Tightening of Forehead Tissues
The aim is to move lax tissues in the forehead and brow area to a more balanced level.
Overlifting the eyebrows may disrupt the natural expression
In planning, the person’s eyebrow shape and facial expression characteristics should be preserved, and excessive changes that may create a surprised or artificial appearance should be avoided.
Temporal Lift and Temple Lift
Temporal lift and temple lift is an upper face surgery planned to reduce laxity in the temple area and move the eyebrow tail to a more balanced position.
The temple area is closely related to the outer corner of the eye, the eyebrow tail and the midface. Therefore, temporal lift should not be evaluated only as a procedure that lifts the eyebrow, but as a surgery that affects the general structure of the upper face.
Eyebrow Tail Support
The aim may be to reduce drooping in the outer part of the eyebrow and make the upper eye area appear more open.
Temple Area
Laxity in the temple tissues can be evaluated through incisions planned within the hair-bearing scalp.
Temporal lift and almond eye aesthetics are not the same procedure. In one, temple and eyebrow tail tissues are at the forefront, while in the other, support of the outer corner of the eyelid is more important. Which method is suitable is determined after a face and eye area examination.
Lip Aesthetics
Lip aesthetics includes the evaluation of the shape, volume and symmetry of the lips and the distance between the nasal base and the upper lip. With age, lip volume may decrease, the upper lip may become thinner and lines may appear around the lips.
One of the most commonly evaluated procedures in surgical lip aesthetics is the lip lift procedure performed in people with a noticeably long upper lip distance. The aim of this procedure is not only to enlarge the upper lip, but to make the lip-nose relationship more balanced.
Lip Lift
The visibility of the upper lip may be increased by reducing the distance between the nasal base and the upper lip.
Lip Asymmetry
Congenital or acquired shape differences can be evaluated according to the person’s existing tissue.
Lip aesthetics should be planned together with the lower part of the face
The proportions between the nose, lips, dental structure and chin directly affect lip appearance.
Ear Aesthetics and Otoplasty
Ear aesthetics or otoplasty aims to regulate the angle between the ears and the head, ear folds and shape differences between the two ears.
In prominent ear appearance, ear cartilages are usually reshaped through incisions made behind the ear. The aim is not to bring the ears excessively close to the head, but to create an angle more compatible with the face and head structure.
Otoplasty is one of the facial aesthetic surgeries that can also be performed in childhood. The timing of prominent ear surgery is determined by considering ear development, the child’s level of social impact and their ability to adapt to the operation process.
Regulation of Ear Angle
The aim is to reduce the noticeable angle between the ear and the head and create a more natural position.
Cartilage Shaping
Missing or insufficiently defined ear folds can be reshaped to create a more balanced ear form.
Mini Facelift
Mini facelift is a more limited facelift approach that may be considered in people with limited laxity in the lower part of the face and jawline.
In this method, incision length and tissue dissection area may be more limited compared to a full facelift. However, mini facelift is not suitable for every degree of aging. More comprehensive methods may be required in people with noticeable neck laxity, advanced jowl formation or midface sagging.
Limited Lower Face Laxity
It may be considered in people with early accumulation along the jawline and mild tissue sagging.
More Comprehensive Needs
In advanced sagging and neck laxity, full face and neck lift may be a more suitable option.
A mini procedure is not always the more correct procedure
The scope of the method to be applied should be determined not only according to the desire for a shorter recovery, but according to the existing anatomical need.
Facelift and Rejuvenation
Facelift and rejuvenation aims to reposition tissue sagging that occurs in the cheeks, jawline and lower part of the face. In modern facelift surgery, it is important to evaluate the supporting tissues under the skin instead of only tightening the skin.
In surgical approaches called SMAS or deep plane, the ligaments and muscle tissues of the face can be repositioned in a controlled manner. The skin is then arranged to adapt to the new tissue structure without creating excessive tension.
When planning facelift surgery in Istanbul, the surgical technique, the physician’s experience in facial anatomy, hospital conditions, postoperative follow-up and management of possible complications should be evaluated together.
Mid and Lower Face
Cheek tissues, mouth corners and jawline laxity can be repositioned according to the person’s needs.
Deep Tissue Support
For a more natural and balanced appearance, not only the skin but also the supporting layers of the face are evaluated.
Facelift surgery and fillers or other non-surgical procedures do not respond to the same need. The difference between facelift surgery and liquid facelift should be evaluated based on the degree of tissue sagging, volume loss and the person’s expectations.
Neck Aesthetics
Neck aesthetics includes the evaluation of conditions such as fat accumulation under the chin, looseness in the neck skin, separation in the platysma muscles and loss of jawline definition.
If the problem in the neck area is caused only by excess fat, liposuction may be sufficient. If skin laxity and muscle bands are noticeable, a neck lift or combined planning with a facelift may be required.
Double Chin and Fat Accumulation
Regional fat accumulation under the chin can be evaluated with liposuction if skin elasticity is suitable.
Neck Muscles and Skin
Laxity in the platysma muscle and excess skin may require a more comprehensive neck lift plan.
The face and neck age together
When noticeable rejuvenation is targeted in the lower face, not evaluating laxity in the neck area may create disharmony between the face and neck.
Combined Facial Aesthetic Procedures
Aging and shape changes in the face are often not limited to a single area. Upper eyelid surgery may be evaluated together with brow lift, facelift with neck aesthetics, or temple lift with almond eye aesthetics.
The decision for combined surgery is not made only to perform more procedures in the same session. Operation time, the person’s health condition, healing capacity and surgical safety are considered. While some procedures may be performed in the same session, it may be more appropriate to divide treatment into stages for some people.
Eyelid and Brow
The source of heaviness in the upper eye area is determined by evaluating eyelid skin and brow drooping together.
Face and Neck
Jawline, cheek and neck laxity may be handled within a shared rejuvenation plan.
Temple and Eye Area
The eyebrow tail, temple area and the position of the outer corner of the eye are examined in relation to each other.
Nose and Profile
Since the relationship between the nose, lips and chin affects profile balance, they are evaluated together.
Evaluation Before Facial Aesthetics
Before facial aesthetics, the bone structure of the face, skin quality, fat tissue distribution, muscle movements, differences between the right and left sides and previous procedures are evaluated. The person’s general health condition, medications used, smoking and previous surgeries may affect the surgical plan.
During the evaluation, not only the area the person is uncomfortable with, but also the anatomical reason underlying this appearance should be determined. For example, heaviness in the upper eyelid may be caused not only by eyelid skin but also by brow drooping.
Analysis of Facial Proportions
The relationships between the forehead, nose, lips, chin and neck are evaluated from different angles.
Tissue Quality
Skin elasticity, skin thickness, volume loss and laxity in connective tissues are examined.
Preservation of Facial Expressions
Preserving the natural movements of the face and personal expression is an important part of the surgical plan.
Realistic Expectations
The person’s expectations and the changes that can be anatomically achieved are evaluated clearly.
Surgery and Recovery Process
The type of anesthesia, operation time and need for hospital stay in facial aesthetic operations vary according to the procedure to be performed. While limited procedures may be performed under local anesthesia or sedation, general anesthesia may be preferred for comprehensive surgeries such as face and neck lift.
After surgery, swelling, bruising, tightness, temporary changes in sensation and mild limitation in facial movements may be seen. The appearance in the first weeks does not reflect the final result; it takes time for tissues to adapt to their new position.
The duration of swelling and bruising after facelift may vary depending on the surgical technique used, the scope of the procedure and the person’s healing characteristics.
First Days
Keeping the head elevated, using prescribed medications and following wound care recommendations are important.
Return to Social Life
The time to return to daily life and work is determined according to the scope of the procedure and the person’s working conditions.
Things to consider during the recovery period
- Protecting the surgical area from impacts
- Using prescribed medications as recommended
- Avoiding smoking and nicotine use
- Not starting heavy exercise early
- Following sun protection recommendations
- Not missing follow-up appointments
- Contacting the doctor in case of increasing pain, fever or sudden swelling
The final result becomes clear over time
It may take weeks or months for swelling to decrease, incisions to heal and tissues to settle into their new position.
Possible Risks of Facial Aesthetic Surgeries
As with every surgical procedure, facial aesthetic surgeries may involve bleeding, infection, delayed wound healing, noticeable scars, asymmetry, temporary or permanent changes in sensation and anesthesia-related complications.
Depending on the treated area, procedure-specific risks such as difficulty closing the eyelid, breathing problems in the nose, temporary weakness in facial nerves, changes in the hairline or reduced sensation around the ear may occur.
The informed decision-making process is important
Before surgery, the goals, limitations, recovery process, possible risks and alternative methods of the procedure should be evaluated in detail.
Why Prof. Dr. Osman Kelahmetoğlu?
Facial aesthetic surgeries require evaluating the muscle, nerve, vessel, bone and connective tissue structures of the face together. For a natural appearance, it is important to preserve not only the skin, but also the deep supporting layers of the face and facial expression movements.
Prof. Dr. Osman Kelahmetoğlu’s academic and clinical experience in the field of plastic, reconstructive and aesthetic surgery contributes to evaluating nose, eyelid, brow, temple, face, neck, lip and ear surgeries with a holistic facial aesthetic approach.
Academic and Clinical Experience
Scientific knowledge, command of anatomy and surgical experience form the basis of the evaluation and treatment process.
Preservation of Natural Expression
The aim is not to standardize the face, but to create a balanced change compatible with the person’s unique features.
Facial Aesthetics Prices in Istanbul
Facial aesthetics prices in Istanbul may vary depending on the type of surgery to be performed, the scope of the procedure, the surgical technique to be used, hospital conditions and whether more than one procedure is planned together.
Rhinoplasty, eyelid surgery, facelift, neck lift, brow lift, temporal lift, lip aesthetics and otoplasty have different surgical contents. For accurate pricing, the person must be examined and the surgical plan must be determined.
Frequently Asked Questions About Facial Aesthetics
Which procedure is suitable for me in facial aesthetics?
The suitable procedure is determined after evaluating the bone structure of the face, skin quality, degree of sagging, volume loss and the person’s expectations.
Can a natural appearance be preserved after facial aesthetics?
A natural appearance is related to correct patient selection, appropriate surgical technique and repositioning tissues without excessive tension.
What is the difference between facelift and mini facelift?
Mini facelift is considered in more limited laxity, while more comprehensive facelift methods may be required in advanced lower face and neck sagging.
Does facelift surgery change facial expression?
In correct planning, the aim is not to change facial expressions or the person’s facial character, but to move downward-displaced tissues to a more natural position.
Does eyelid surgery affect vision?
Advanced excess skin on the upper eyelid may narrow the visual field. Surgical planning should be made by considering eyelid closure function and eye health.
Can breathing problems be corrected in rhinoplasty?
Septum deviation or airway narrowing inside the nose may be evaluated in the same surgery as aesthetic correction in suitable patients.
Will there be scars after facial aesthetic surgeries?
Scars occur with every surgical incision. Incisions are placed as much as possible in natural folds, within the hair-bearing scalp or around the ear transitions.
When can one return to work after facial aesthetics?
Return to work varies according to the scope of the procedure and the person’s profession. The recovery times of limited procedures and face and neck lift surgeries are not the same.
Are facial aesthetic results permanent?
The changes achieved with surgery can be preserved for a long time, but the aging process continues. Sun exposure, smoking, weight changes and skin structure may affect the result over time.
Can more than one facial aesthetic procedure be performed at the same time?
In suitable patients, some procedures may be performed in the same session. The decision is made by evaluating operation time, general health condition and surgical safety.
Contact and Appointment
To create a personal evaluation about rhinoplasty, eyelid surgery, brow and forehead aesthetics, temporal lift, face and neck lift, lip aesthetics or ear aesthetics, you can contact Prof. Dr. Osman Kelahmetoğlu’s clinic in Istanbul Şişli / Nişantaşı.
During the examination, your facial structure, current complaints, applicable surgical options, recovery process and possible risks are evaluated according to your personal condition.
Personalized facial aesthetics planning in Istanbul Şişli / Nişantaşı
You can create an appointment for a facial aesthetics evaluation that preserves your facial character and natural expression while considering proportion and tissue integrity.
