G\u00f6zler \u00e7o\u011fu zaman tek bir estetik b\u00f6lge olarak anlat\u0131l\u0131r; ancak klinik a\u00e7\u0131dan birden fazla anatomik sistemin kesi\u015fim noktas\u0131d\u0131r. Ka\u015f orbitan\u0131n \u00fczerinde yer al\u0131r, \u00fcst g\u00f6z kapa\u011f\u0131 g\u00f6z\u00fcn \u00fczerinde a\u00e7\u0131l\u0131p kapan\u0131r, alt g\u00f6z kapa\u011f\u0131 ok\u00fcler y\u00fczeyi destekler, orbital ya\u011f hem gerekli korumay\u0131 hem de g\u00f6r\u00fcn\u00fcr konturu olu\u015fturur ve yanak g\u00f6z kapa\u011f\u0131\u2013yanak ge\u00e7i\u015finin alt s\u0131n\u0131r\u0131n\u0131 meydana getirir. Bu yap\u0131lardan herhangi birindeki de\u011fi\u015fiklik \u00fcst y\u00fcz\u00fcn tamam\u0131n\u0131n ifadesini de\u011fi\u015ftirebilir.<\/p>\n
Bu nedenle \u201cyorgun g\u00f6r\u00fcn\u00fcyorum\u201d bir i\u015flem talebi de\u011fildir. A\u011f\u0131r bir \u00fcst g\u00f6z kapa\u011f\u0131, g\u00f6z kapa\u011f\u0131ndaki deri fazlal\u0131\u011f\u0131ndan, ka\u015f d\u00fc\u015f\u00fckl\u00fc\u011f\u00fcnden, ger\u00e7ek g\u00f6z kapa\u011f\u0131 pitozundan veya bunlar\u0131n birka\u00e7\u0131n\u0131n birlikte bulunmas\u0131ndan kaynaklanabilir. G\u00f6z alt\u0131ndaki g\u00f6lge ise g\u00f6zya\u015f\u0131 olu\u011fundan, pigmentasyondan, g\u00f6r\u00fcn\u00fcr damarlardan ya da alt\u0131na g\u00f6lge d\u00fc\u015f\u00fcren \u00f6ne \u00e7\u0131km\u0131\u015f ya\u011f dokusundan kaynaklanabilir. Yorgun, \u00fczg\u00fcn veya ya\u015fl\u0131 gibi kelimeler hastan\u0131n ne alg\u0131lad\u0131\u011f\u0131n\u0131 tarif eder; klinik g\u00f6rev, y\u00fcz\u00fc ki\u015fiye \u00f6zg\u00fc ve tan\u0131nabilir k\u0131lan ifadeyi de\u011fi\u015ftirmeden bu alg\u0131y\u0131 hangi yap\u0131n\u0131n olu\u015fturdu\u011funu belirlemektir.<\/p>\n
\u00dcst g\u00f6z kapa\u011f\u0131 ka\u015ftan ba\u011f\u0131ms\u0131z do\u011fru de\u011ferlendirilemez. Ka\u015f \u00f6zellikle d\u0131\u015f tarafta a\u015fa\u011f\u0131 indi\u011finde dokuyu \u00fcst g\u00f6z kapa\u011f\u0131na do\u011fru ta\u015f\u0131r ve g\u00f6z kapa\u011f\u0131 deri fazlal\u0131\u011f\u0131 gibi g\u00f6r\u00fcnen kap\u00fc\u015fonlanmaya yol a\u00e7abilir. Baz\u0131 hastalar ka\u015f\u0131 daha yukar\u0131da tutmak i\u00e7in fark\u0131nda olmadan al\u0131n kas\u0131n\u0131 s\u00fcrekli kullanarak bunu kompanse eder. Bu nedenle hem a\u011f\u0131r g\u00f6z kapaklar\u0131 hem de k\u0131smen bu kompansasyonun kayd\u0131 olan yatay al\u0131n \u00e7izgileriyle ba\u015fvurabilirler.<\/p>\n
\u00dcst g\u00f6z kapa\u011f\u0131n\u0131n kendisi son derece \u00f6zelle\u015fmi\u015f ve hareketli bir yap\u0131d\u0131r. V\u00fccudun en ince ciltlerinden bir k\u0131sm\u0131n\u0131, orbik\u00fclaris kas\u0131n\u0131, orbital septumu, ya\u011f b\u00f6lmelerini, g\u00f6z kapa\u011f\u0131n\u0131 kald\u0131ran levator mekanizmas\u0131n\u0131 ve kapa\u011fa yap\u0131sal stabilite sa\u011flayan tarsal pla\u011f\u0131 i\u00e7erir. Bu b\u00f6lgeden birka\u00e7 milimetre deri \u00e7\u0131karmak belirgin g\u00f6rsel de\u011fi\u015fiklik yaratabilir; ancak ameliyat sonras\u0131nda g\u00f6z kapa\u011f\u0131n\u0131n g\u00f6z k\u0131rpabilmesi ve tamamen kapanabilmesi de gerekir. Estetik a\u00e7\u0131kl\u0131k bu i\u015flevsel gereklilikten ayr\u0131 d\u00fc\u015f\u00fcn\u00fclemez.<\/p>\n
G\u00f6z\u00fcn alt\u0131nda anatomi yeniden ba\u015flamaz; devam eder. Orbital ya\u011f, alt g\u00f6z kapa\u011f\u0131 destek sistemi, tutucu ba\u011flar, cilt, kas ve \u00fcst yanak birlikte ge\u00e7i\u015fin d\u00fczg\u00fcn, \u00e7\u00f6k\u00fck veya torbal\u0131 g\u00f6r\u00fcn\u00fcp g\u00f6r\u00fcnmedi\u011fini belirler. Bu nedenle yanak deste\u011fine bakmadan alt g\u00f6z kapa\u011f\u0131 \u015fik\u00e2yetini tedavi etmek, dorsuma bakmadan burun ucunu tedavi etmeye benzer: lokal \u00f6zellik ger\u00e7ek olabilir, ancak daha b\u00fcy\u00fck bir yap\u0131sal ili\u015fkinin par\u00e7as\u0131d\u0131r.<\/p>\n
G\u00f6z \u00e7evresi, g\u00f6r\u00fcnen her k\u0131vr\u0131m ve \u00e7\u00f6k\u00fckl\u00fck \u00e7\u0131kar\u0131ld\u0131\u011f\u0131 i\u00e7in daha ameliyatl\u0131 de\u011fil, do\u011fru mekanizma tedavi edildi\u011fi i\u00e7in daha dinlenmi\u015f g\u00f6r\u00fcnmelidir.<\/p><\/blockquote>\n
A\u011f\u0131r \u00fcst g\u00f6z kapaklar\u0131n\u0131n en az \u00fc\u00e7 farkl\u0131 anatomik anlam\u0131 vard\u0131r<\/h2>\n
Ger\u00e7ek \u00fcst g\u00f6z kapa\u011f\u0131 deri fazlal\u0131\u011f\u0131 yani dermato\u015falazis, g\u00f6z kapa\u011f\u0131 k\u0131vr\u0131m\u0131n\u0131 \u00f6rtebilen ve ileri durumlarda kirpiklere do\u011fru inebilen fazla deri katlant\u0131s\u0131 olu\u015fturur. Konservatif \u00fcst blefaroplastinin do\u011frudan ele ald\u0131\u011f\u0131 sorun budur. Ancak g\u00f6z kapa\u011f\u0131n\u0131n \u00fczerindeki ka\u015f a\u015fa\u011f\u0131 indi\u011finde hasta neredeyse ayn\u0131 g\u00f6r\u00fcnebilir. Bu durumda yaln\u0131zca g\u00f6z kapa\u011f\u0131 derisini \u00e7\u0131karmak kap\u00fc\u015fonlanman\u0131n bir k\u0131sm\u0131n\u0131 azaltabilir; ancak dokunun a\u015fa\u011f\u0131 konumlanmas\u0131n\u0131n kayna\u011f\u0131na dokunmaz.<\/p>\n
Ger\u00e7ek g\u00f6z kapa\u011f\u0131 pitozu yine farkl\u0131d\u0131r. Burada \u00fcst g\u00f6z kapa\u011f\u0131 kenar\u0131, kapa\u011f\u0131 kald\u0131rmaktan sorumlu mekanizma normal \u00e7al\u0131\u015fmad\u0131\u011f\u0131 i\u00e7in olmas\u0131 gerekenden a\u015fa\u011f\u0131dad\u0131r. Deri \u00e7\u0131karmak bu mekanizmay\u0131 onarmaz. Bu nedenle hasta teknik olarak temiz bir g\u00f6z kapa\u011f\u0131 ameliyat\u0131 ge\u00e7irse bile, g\u00f6z kapa\u011f\u0131 kenar\u0131n\u0131 kontrol eden anatomik yap\u0131 hi\u00e7 ele al\u0131nmad\u0131\u011f\u0131 i\u00e7in g\u00f6z\u00fcn\u00fcn h\u00e2l\u00e2 kapal\u0131 g\u00f6r\u00fcnd\u00fc\u011f\u00fcn\u00fc d\u00fc\u015f\u00fcnebilir.<\/p>\n
Bir\u00e7ok hastada tek bir saf mekanizma de\u011fil, bunlar\u0131n kar\u0131\u015f\u0131m\u0131 vard\u0131r. Ka\u015f bir miktar a\u015fa\u011f\u0131 inmi\u015f olabilir, g\u00f6z kapa\u011f\u0131 derisi ger\u00e7ekten fazla olabilir ve iki g\u00f6z ba\u015flang\u0131\u00e7ta farkl\u0131 kenar seviyelerine sahip olabilir. Tam da bu nedenle ameliyata yaln\u0131zca \u00fcst g\u00f6z kapa\u011f\u0131 derisini s\u0131k\u0131\u015ft\u0131rarak karar vermem. G\u00f6z kapa\u011f\u0131\u2013ka\u015f sistemi birlikte okunmal\u0131d\u0131r.<\/p>\n
G\u00f6z alt\u0131 torbalar\u0131 ve \u00e7\u00f6k\u00fckl\u00fckler ayn\u0131 hastada birlikte bulunabilir<\/h2>\n
Alt g\u00f6z kapa\u011f\u0131ndaki ya\u015flanma \u00e7o\u011fu zaman \u00e7eli\u015fkili g\u00f6r\u00fcnen bir tablo olu\u015fturur: g\u00f6z\u00fcn hemen alt\u0131nda dolgunluk, bu dolgunlu\u011fun hemen alt\u0131nda ise \u00e7\u00f6k\u00fckl\u00fck. Orbital ya\u011f daha belirgin h\u00e2le gelirken alt\u0131ndaki g\u00f6z kapa\u011f\u0131\u2013yanak ge\u00e7i\u015fi deste\u011fini kaybedebilir. Bu iki kontur aras\u0131ndaki g\u00f6lge, torbay\u0131 daha b\u00fcy\u00fck ve \u00e7\u00f6k\u00fckl\u00fc\u011f\u00fc ayn\u0131 anda daha derin g\u00f6sterebilir.<\/p>\n
Bu ayr\u0131m dolgu d\u00fc\u015f\u00fcn\u00fcl\u00fcrken \u00f6nemlidir. Ger\u00e7ek bir g\u00f6zya\u015f\u0131 olu\u011fu, \u00f6zellikle orta y\u00fcz deste\u011fi de de\u011ferlendirildi\u011finde se\u00e7ilmi\u015f hacmin geri kazand\u0131r\u0131lmas\u0131yla iyile\u015febilir. Ancak dolgu belirgin prolabe olmu\u015f bir ya\u011f yast\u0131k\u00e7\u0131\u011f\u0131n\u0131 ortadan kald\u0131rmaz. B\u00fcy\u00fck bir torbay\u0131 kamufle etmek i\u00e7in alt\u0131na yeterince hacim eklemek alt g\u00f6z kapa\u011f\u0131n\u0131 daha gen\u00e7 de\u011fil daha a\u011f\u0131r h\u00e2le getirebilir. Ba\u015fka bir tedavi kategorisine ait anatomiyi gizlemek i\u00e7in giderek daha fazla materyal gerekti\u011finde cerrahi d\u0131\u015f\u0131 se\u00e7enek art\u0131k daha konservatif de\u011fildir.<\/p>\n
G\u00f6z alt\u0131 koyulu\u011fu ba\u015fka bir ayr\u0131m daha gerektirir. Pigmentasyon, g\u00f6r\u00fcn\u00fcr damarlar, ince cilt ve yap\u0131sal g\u00f6lge ayr\u0131 ayr\u0131 katk\u0131da bulunabilir. \u00c7\u00f6k\u00fckl\u00fc\u011f\u00fc d\u00fczeltmek g\u00f6lgeyi de\u011fi\u015ftirir; cildin rengini a\u00e7maz. Bu nedenle hasta \u00e7ok iyi bir hacim d\u00fczeltmesi ge\u00e7irip koyulu\u011fun devam etti\u011fini g\u00f6rebilir; \u00e7\u00fcnk\u00fc rengin kendisi hi\u00e7bir zaman hacim sorunu de\u011fildi.<\/p>\n
G\u00f6z de\u011ferlendirmesi i\u015flevle ba\u015flar; \u00e7\u00fcnk\u00fc a\u00e7\u0131kl\u0131\u011f\u0131n i\u015flevsel bir s\u0131n\u0131r\u0131 vard\u0131r<\/h2>\n
G\u00f6z kapaklar\u0131n\u0131n nas\u0131l a\u00e7\u0131l\u0131p kapand\u0131\u011f\u0131na, ok\u00fcler y\u00fczeyin zaten kuru veya irritabl olup olmad\u0131\u011f\u0131na, iki g\u00f6z kapa\u011f\u0131 kenar\u0131n\u0131n ayn\u0131 y\u00fckseklikte bulunup bulunmad\u0131\u011f\u0131na ve hastan\u0131n a\u011f\u0131rl\u0131\u011f\u0131 kompanse etmek i\u00e7in aln\u0131n\u0131 kullan\u0131p kullanmad\u0131\u011f\u0131na bakar\u0131m. \u00d6nceki kontakt lens kullan\u0131m\u0131, g\u00f6z hastal\u0131klar\u0131 ve ge\u00e7irilmi\u015f g\u00f6z kapa\u011f\u0131 ameliyatlar\u0131 ba\u011flam\u0131 etkileyebilir. Ama\u00e7 g\u00f6z\u00fc cerrahi olarak m\u00fcmk\u00fcn olan en a\u00e7\u0131k h\u00e2le getirmek de\u011fildir. Sonucun ba\u015far\u0131l\u0131 olmas\u0131 i\u00e7in g\u00f6z kapaklar\u0131n\u0131n korneay\u0131 rahat bi\u00e7imde koruyabilmesi gerekir.<\/p>\n
Ba\u015flang\u0131\u00e7taki asimetri \u00f6zellikle \u00f6nemlidir. Ka\u015flar s\u0131k olarak farkl\u0131 y\u00fcksekliklerdedir, g\u00f6z kapa\u011f\u0131 k\u0131vr\u0131mlar\u0131 farkl\u0131 olabilir, bir g\u00f6z do\u011fal olarak biraz daha b\u00fcy\u00fck g\u00f6r\u00fcnebilir ve orbital anatomi zaten kusursuz simetrik de\u011fildir. Cerrahi anlaml\u0131 farklar\u0131 iyile\u015ftirebilir; ancak aynadaki gibi simetriyi zorlamak, daha iyi i\u015flev g\u00f6ren veya daha do\u011fal tarafta orant\u0131s\u0131z m\u00fcdahale gerektirebilir.<\/p>\n
Yaln\u0131zca statik foto\u011fraflar\u0131 de\u011fil ifadeyi de g\u00f6zlemlerim. Ka\u015f hareket eder, orbik\u00fclaris g\u00f6z\u00fc kapat\u0131r, g\u00fcl\u00fcmseme alt g\u00f6z kapa\u011f\u0131 ile yana\u011f\u0131 de\u011fi\u015ftirir ve t\u00fcm g\u00f6z \u00e7evresi duyguya kat\u0131l\u0131r. Bir ki\u015finin kendi ifadesini tan\u0131mas\u0131n\u0131 sa\u011flayan ince hareketleri ortadan kald\u0131ran teknik olarak d\u00fczg\u00fcn bir sonu\u00e7, klasik anlamda hi\u00e7bir komplikasyon geli\u015fmemi\u015f olsa bile estetik a\u00e7\u0131dan pahal\u0131 olabilir.<\/p>\n
Olas\u0131 yakla\u015f\u0131mlar, \u015fik\u00e2yeti hangi katman\u0131n olu\u015fturdu\u011funa ba\u011fl\u0131d\u0131r<\/h2>\n
Ger\u00e7ek \u00fcst g\u00f6z kapa\u011f\u0131 deri fazlal\u0131\u011f\u0131 bask\u0131n oldu\u011funda, \u00fcst g\u00f6z kapa\u011f\u0131 cerrahisi<\/a> do\u011fal kapanma i\u00e7in yeterli dokuyu koruyarak ve gereksiz \u00e7\u00f6k\u00fckl\u00fck olu\u015fturmadan fazlal\u0131\u011f\u0131 azaltabilir. Buradaki \u00f6nemli kelime yeterlidir. Ama\u00e7 m\u00fcmk\u00fcn olan en fazla deri veya ya\u011f\u0131 \u00e7\u0131karmak de\u011fildir. Ama\u00e7 daha belirgin bir g\u00f6z kapa\u011f\u0131 k\u0131vr\u0131m\u0131n\u0131 geri kazand\u0131r\u0131rken g\u00f6z\u00fcn do\u011fal bi\u00e7imde ya\u015flanabilmesini sa\u011flamakt\u0131r.<\/p>\n
Ka\u015f d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc \u00f6nemli bir katk\u0131 sa\u011fl\u0131yorsa, ka\u015f kald\u0131rma<\/a> veya se\u00e7ilmi\u015f anatomilerde endoskopik ka\u015f kald\u0131rma<\/a> g\u00f6z kapa\u011f\u0131n\u0131n \u00fczerindeki kayna\u011f\u0131 ele alabilir. Kald\u0131rma vekt\u00f6r\u00fc \u00f6nemlidir; \u00e7\u00fcnk\u00fc ka\u015f hastan\u0131n daha \u00f6nce hi\u00e7 sahip olmad\u0131\u011f\u0131 bir ifadeye y\u00fckseltilebilir. M\u00fcmk\u00fcn olan en y\u00fcksek ka\u015f konumunu kovalamak yerine g\u00f6z kapa\u011f\u0131\u2013ka\u015f ili\u015fkisinin restorasyonunu tercih ederim.<\/p>\n
Alt g\u00f6z kapa\u011f\u0131 sorunlar\u0131 ba\u015fka kararlar gerektirebilir. Belirgin torbalar, gev\u015feklik veya alt g\u00f6z kapa\u011f\u0131 yap\u0131sal problemleri cerrahi de\u011ferlendirmeyi gerektirebilir. Ger\u00e7ek bir \u00e7\u00f6k\u00fckl\u00fck dikkatle se\u00e7ilmi\u015f dolgu i\u00e7in d\u00fc\u015f\u00fcn\u00fclebilir; pigmentasyon veya cilt kalitesi sorunlar\u0131 ise kendi tedavi stratejilerini gerektirir. Botulinum toksini, resurfacing ve di\u011fer cerrahi d\u0131\u015f\u0131 se\u00e7enekler belirli dinamik veya kutan\u00f6z sorunlarda faydal\u0131 olabilir; ancak her birinin genel bir \u201cg\u00f6z gen\u00e7le\u015ftirme\u201d paketine eklenmek yerine tan\u0131mlanm\u0131\u015f bir g\u00f6revi olmal\u0131d\u0131r.<\/p>\n
Ya\u015flanma belirtilerini azaltmak, g\u00f6z\u00fc canl\u0131 g\u00f6steren anatomiyi ortadan kald\u0131rmak anlam\u0131na gelmemelidir<\/h2>\n
\u00dcst g\u00f6z kapa\u011f\u0131nda do\u011fal olarak yumu\u015fak doku bulunur. Belirli bir dolgunluk derecesi ka\u015f ile g\u00f6z kapa\u011f\u0131 aras\u0131ndaki ge\u00e7i\u015fi sa\u011fl\u0131kl\u0131 g\u00f6sterebilir. Agresif ya\u011f \u00e7\u0131kar\u0131lmas\u0131, ba\u015flang\u0131\u00e7ta dramatik g\u00f6r\u00fcnebilen ancak do\u011fal y\u00fcz hacmi ya\u015fla azald\u0131k\u00e7a giderek daha belirgin h\u00e2le gelen \u00e7\u00f6k\u00fck ve iskeletimsi bir \u00fcst orbita olu\u015fturabilir. Ayn\u0131 ilke g\u00f6z\u00fcn alt\u0131nda da ge\u00e7erlidir: her ge\u00e7i\u015fi tamamen d\u00fczle\u015ftirmek normal bir y\u00fcze ait yumu\u015fak s\u00fcreklili\u011fi ortadan kald\u0131rabilir.<\/p>\n
Bu, uzun vadeli d\u00fc\u015f\u00fcnmenin ilk ameliyat sonras\u0131 foto\u011fraftan daha \u00f6nemli oldu\u011fu b\u00f6lgelerden biridir. Cilt oturur, skarlar olgunla\u015f\u0131r, \u015fi\u015flik g\u00f6r\u00fcn\u00fcr simetriyi de\u011fi\u015ftirir ve \u00e7evredeki y\u00fcz ya\u015flanmaya devam eder. Konservatif bir sonu\u00e7, normal anatomiyi korudu\u011fu ve u\u00e7 bir sonlan\u0131m noktas\u0131 yaratmad\u0131\u011f\u0131 i\u00e7in gelecekteki bu de\u011fi\u015fikliklerle uyumunu s\u00fcrd\u00fcrme kapasitesine daha \u00e7ok sahiptir.<\/p>\n
Hi\u00e7bir \u015fey yapmaman\u0131n daha do\u011fru karar oldu\u011fu durumlar da vard\u0131r. Hafif asimetri, normal bir g\u00f6z kapa\u011f\u0131 k\u0131vr\u0131m\u0131 veya ifadeyle ili\u015fkili k\u00fc\u00e7\u00fck \u00e7izgiler kusurdan \u00e7ok y\u00fcz\u00fcn bir par\u00e7as\u0131 olabilir. Bunlar\u0131 de\u011fi\u015ftirebilecek bir tedavinin var olmas\u0131, de\u011fi\u015ftirmenin ki\u015fiyi iyile\u015ftirece\u011fini g\u00f6stermeye yetmez.<\/p>\n
G\u00f6z \u00e7evresi kons\u00fcltasyonu ne zaman anlaml\u0131d\u0131r?<\/h2>\n
Anatomik kayna\u011f\u0131n\u0131 tan\u0131mlayam\u0131yor olsan\u0131z bile stabil bir \u015fik\u00e2yeti tan\u0131mlayabildi\u011finizde kons\u00fcltasyon faydal\u0131 h\u00e2le gelir. \u00dcst g\u00f6z kapaklar\u0131 a\u011f\u0131r hissedebilir, d\u0131\u015f ka\u015f a\u015fa\u011f\u0131 inmi\u015f olabilir, alt g\u00f6z kapaklar\u0131 \u015fi\u015f g\u00f6r\u00fcnebilir, g\u00f6z alt\u0131 \u00e7\u00f6k\u00fck olabilir veya iki g\u00f6z zaman i\u00e7inde daha asimetrik h\u00e2le gelmi\u015f olabilir. \u00c7\u00f6z\u00fcm\u00fcn g\u00f6z kapa\u011f\u0131 cerrahisi, ka\u015f cerrahisi, dolgu veya ba\u015fka bir \u015fey olup olmad\u0131\u011f\u0131na \u00f6nceden karar vermeniz gerekmez.<\/p>\n
Yararl\u0131 bir de\u011ferlendirme bile\u015fenleri ay\u0131rmal\u0131; hangilerinin yap\u0131sal, hangilerinin cilt veya renkle ili\u015fkili oldu\u011funu ve hangilerinin i\u015flevsel anlam ta\u015f\u0131yabilece\u011fini a\u00e7\u0131klamal\u0131d\u0131r. G\u00f6z \u00e7evresinde bu ayr\u0131m \u00f6zellikle \u00f6nemlidir; \u00e7\u00fcnk\u00fc estetik m\u00fcdahale, normal g\u00f6revi g\u00f6rmeyi korumak olan bir doku \u00fczerinde yap\u0131l\u0131r. En iyi plan, daha dramatik bir foto\u011fraf u\u011fruna g\u00f6z kapa\u011f\u0131ndan bu i\u015flevi feda etmesini istemeden g\u00f6r\u00fcn\u00fcm\u00fc iyile\u015ftirir.<\/p>\n
S\u0131k sorulan sorular<\/h2>\n
A\u011f\u0131r \u00fcst g\u00f6z kapaklar\u0131n\u0131n ka\u015ftan m\u0131 yoksa g\u00f6z kapa\u011f\u0131ndan m\u0131 kaynakland\u0131\u011f\u0131n\u0131 nas\u0131l anlar\u0131m?<\/h3>\n
\u0130li\u015fki klinik olarak de\u011ferlendirilir. Ka\u015f\u0131 anatomik konumuna daha yak\u0131n desteklemek, g\u00f6r\u00fcnen kap\u00fc\u015fonlanman\u0131n ne kadar\u0131n\u0131n ka\u015ftan kaynakland\u0131\u011f\u0131n\u0131 g\u00f6stermeye yard\u0131mc\u0131 olur; ger\u00e7ek g\u00f6z kapa\u011f\u0131 deri fazlal\u0131\u011f\u0131n\u0131n miktar\u0131 ve davran\u0131\u015f\u0131 ise ayr\u0131 de\u011ferlendirilir. Bir\u00e7ok hastada iki bile\u015fen bir aradad\u0131r; bu nedenle yaln\u0131zca g\u00f6z kapa\u011f\u0131 foto\u011fraf\u0131ndan g\u00fcvenilir bi\u00e7imde tek bir ameliyat se\u00e7ilemez.<\/p>\n
\u00dcst g\u00f6z kapa\u011f\u0131 cerrahisi pitoz cerrahisiyle ayn\u0131 m\u0131d\u0131r?<\/h3>\n
Hay\u0131r. \u00dcst blefaroplasti esas olarak fazla deriyi ve se\u00e7ilmi\u015f yumu\u015fak dokular\u0131 ele al\u0131r. Pitoz cerrahisi ise g\u00f6z kapa\u011f\u0131n\u0131 kald\u0131ran mekanizmadaki sorun nedeniyle fazla a\u015fa\u011f\u0131da duran g\u00f6z kapa\u011f\u0131 kenar\u0131n\u0131 d\u00fczeltir. Hastalar her ikisini de \u201cd\u00fc\u015f\u00fckl\u00fck\u201d olarak tarif edebilir; ancak anatomik olarak farkl\u0131 sorunlard\u0131r.<\/p>\n
Dolgu g\u00f6z alt\u0131 torbalar\u0131n\u0131 tedavi edebilir mi?<\/h3>\n
Dolgu se\u00e7ilmi\u015f bir \u00e7\u00f6k\u00fckl\u00fc\u011f\u00fc veya k\u00fc\u00e7\u00fck bir torban\u0131n alt\u0131ndaki ge\u00e7i\u015fi yumu\u015fatabilir; ancak prolabe orbital ya\u011f\u0131 ortadan kald\u0131rmaz. Belirgin dolgunluk, malar \u00f6dem veya gev\u015feklik bask\u0131nsa hacim eklemek a\u011f\u0131rl\u0131\u011f\u0131 azaltmak yerine art\u0131rabilir.<\/p>\n
G\u00f6z ameliyat\u0131 ifademi de\u011fi\u015ftirir mi?<\/h3>\n
G\u00f6z \u00e7evresindeki her de\u011fi\u015fiklik ifadenin alg\u0131lan\u0131\u015f\u0131n\u0131 etkileyebilir; bu nedenle konservatif planlama \u00f6nemlidir. Ama\u00e7 standartla\u015ft\u0131r\u0131lm\u0131\u015f bir \u201ca\u00e7\u0131k g\u00f6z\u201d g\u00f6r\u00fcn\u00fcm\u00fc yaratmak de\u011fil, hastan\u0131n ba\u015flang\u0131\u00e7taki g\u00f6z \u015feklini, hareketini ve tan\u0131nabilir ifadesini korurken a\u011f\u0131rl\u0131k veya yorgunluk olu\u015fturan anatomik \u00f6zelli\u011fi azaltmak olmal\u0131d\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"
G\u00f6zler \u00e7o\u011fu zaman tek bir estetik b\u00f6lge olarak anlat\u0131l\u0131r; ancak klinik a\u00e7\u0131dan birden fazla anatomik sistemin kesi\u015fim noktas\u0131d\u0131r. Ka\u015f orbitan\u0131n \u00fczerinde yer al\u0131r, \u00fcst g\u00f6z kapa\u011f\u0131 g\u00f6z\u00fcn \u00fczerinde a\u00e7\u0131l\u0131p kapan\u0131r, alt g\u00f6z kapa\u011f\u0131 ok\u00fcler y\u00fczeyi destekler, orbital ya\u011f hem gerekli korumay\u0131 hem de g\u00f6r\u00fcn\u00fcr konturu olu\u015fturur ve yanak g\u00f6z kapa\u011f\u0131\u2013yanak ge\u00e7i\u015finin alt s\u0131n\u0131r\u0131n\u0131 meydana getirir. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":13256,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"template-body-area.php","meta":{"footnotes":""},"class_list":["post-13522","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mertdemirel.com\/tr\/wp-json\/wp\/v2\/pages\/13522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mertdemirel.com\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mertdemirel.com\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mertdemirel.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mertdemirel.com\/tr\/wp-json\/wp\/v2\/comments?post=13522"}],"version-history":[{"count":0,"href":"https:\/\/mertdemirel.com\/tr\/wp-json\/wp\/v2\/pages\/13522\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/mertdemirel.com\/tr\/wp-json\/wp\/v2\/pages\/13256"}],"wp:attachment":[{"href":"https:\/\/mertdemirel.com\/tr\/wp-json\/wp\/v2\/media?parent=13522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}