{"id":1709,"date":"2019-12-03T13:57:16","date_gmt":"2019-12-03T13:57:16","guid":{"rendered":"https:\/\/turkeyistanbulmedical.com\/?p=1709"},"modified":"2021-05-24T10:36:28","modified_gmt":"2021-05-24T10:36:28","slug":"meme-rekonstruksiyonu-yeniden-sekillendirme","status":"publish","type":"post","link":"https:\/\/turkeyistanbulmedical.com\/tr\/meme-rekonstruksiyonu-yeniden-sekillendirme\/","title":{"rendered":"Meme Rekonstr\u00fcksiyonu (Yeniden \u015eekillendirme)"},"content":{"rendered":"

Meme Rekonstr\u00fcksiyonu (Yeniden \u015eekillendirme)<\/a><\/h2>\n

Anatomi<\/strong><\/h3>\n

Meme, \u015fekil sa\u011flayan ya\u011f dokusu ile \u00e7evrili meme bezlerinden, s\u00fct kanallar\u0131ndan, destek sa\u011flayan ba\u011flardan ve ba\u011f dokusundan olu\u015fur. Pektoralis kaslar\u0131 g\u00f6\u011f\u00fcslerin alt\u0131nda yatar, bunlar\u0131 kaburgalar\u0131n\u0131zdan ay\u0131r\u0131r. Meme, meme ucundaki minik kas lifleri d\u0131\u015f\u0131nda kas dokusu i\u00e7ermez. Meme ucunun etraf\u0131ndaki dairesel, koyu renkli b\u00f6lgeye areola denir. Kan, memeye bir kan damar\u0131 a\u011f\u0131 taraf\u0131ndan besler, h\u00fccrelere oksijen ve besin sa\u011flar ve at\u0131klar\u0131 giderir. Enfeksiyonla sava\u015fmaya ve at\u0131k malzemeyi elimine etmeye yard\u0131mc\u0131 olan bir s\u0131v\u0131 olan lenf, bir dizi lenf damar\u0131 ve lenf nodu yoluyla meme ve v\u00fccudun geri kalan k\u0131sm\u0131nda dola\u015f\u0131r. Mastektomi s\u0131ras\u0131nda t\u00fcm ya\u011f dokusu, ba\u011f dokusu ve bezler \u00e7\u0131kar\u0131l\u0131r. Bulgulara ve kanserin boyutuna ba\u011fl\u0131 olarak, koltuk alt\u0131ndaki b\u00f6lgedeki lenf d\u00fc\u011f\u00fcmleri de \u00e7\u0131kar\u0131labilir. Cilt koruyucu ve meme koruyucu mastektomi se\u00e7enekleri olmas\u0131na ra\u011fmen, meme kanseri ve areola, tekrarlayan kanser riskini en aza indirmek i\u00e7in yayg\u0131n olarak \u00e7\u0131kar\u0131l\u0131r.<\/p>\n

Haz\u0131rl\u0131k<\/strong><\/h3>\n

Genel cerrah ve plastik cerrah genellikle bak\u0131m\u0131n\u0131z\u0131 koordine etmek i\u00e7in birlikte \u00e7al\u0131\u015facakt\u0131r. Cerrah\u0131n\u0131zdan \u00f6nce, cerrahlar insizyon, doku flepleri veya implant yerle\u015ftirme i\u00e7in gerekli i\u015faretler dahil olmak \u00fczere kendi prosed\u00fcr\u00fcn\u00fcz i\u00e7in k\u0131lavuzlar \u00e7izecektir. Uyudu\u011funuz ve a\u011fr\u0131 hissetmeyece\u011finiz genel anestezi uygulanacakt\u0131r. Meme rekonstr\u00fcksiyonu prosed\u00fcrleri, hangi i\u015flemin se\u00e7ildi\u011fine,\u00a0 bir veya iki g\u00f6\u011fs\u00fcn yeniden yap\u0131land\u0131r\u0131l\u0131p yap\u0131land\u0131r\u0131lmad\u0131\u011f\u0131na ba\u011fl\u0131 olarak genelde iki ile be\u015f saat aras\u0131nda s\u00fcrer.<\/p>\n

Flaps ile Meme Yeniden Yap\u0131lanma Se\u00e7enekleri<\/strong><\/h3>\n

Otolog kapaklarla yeniden yap\u0131lanma se\u00e7enekleri pedik\u00fcl kanatlar\u0131 veya serbest kanatlar olarak bilinenlerle yap\u0131labilir. Pedik\u00fcl flepleri orijinal kan kaynaklar\u0131na ba\u011fl\u0131 kal\u0131rken, serbest flepler v\u00fccudun bir b\u00f6lgesinden tamamen ayr\u0131l\u0131r ve ba\u015fka bir b\u00f6lgedeki k\u00fc\u00e7\u00fck kan damarlar\u0131na yeniden ba\u011flan\u0131r. Cerrah, al\u0131nan\u00a0 kapaktan damarlar\u0131 g\u00f6rselle\u015ftirmek ve onlar\u0131 mikrocerrahi olarak bilinen bir teknik ile meme b\u00f6lgesindeki damarlara ba\u011flamak i\u00e7in bir mikroskop kullan\u0131r. Her ne kadar flep hasat sahas\u0131ndaki zay\u0131fl\u0131k, kaslar genellikle sa\u011flam kald\u0131\u011f\u0131ndan dolay\u0131 daha az problem yaratabilse de, mikrocerrahi prosed\u00fcrlerinin daha karma\u015f\u0131k oldu\u011fu d\u00fc\u015f\u00fcn\u00fclmektedir, \u00e7\u00fcnk\u00fc yeterli kan dola\u015f\u0131m\u0131n\u0131 sa\u011flamak ve flebin kayb\u0131n\u0131 \u00f6nlemek i\u00e7in damarlar\u0131n dikkatli bir \u015fekilde tak\u0131lmas\u0131 gerekir. Baz\u0131 yayg\u0131n kanat t\u00fcrlerinden (pedik\u00fcl kanatlar\u0131 olsun olmas\u0131n) ve bir karar verirken g\u00f6z \u00f6n\u00fcnde bulundurulacak fakt\u00f6rlerin bulundu\u011fu bir tablo g\u00f6sterilir. Bu animasyonun sonraki b\u00f6l\u00fcmleri, daha yayg\u0131n yap\u0131lanma se\u00e7eneklerinden birka\u00e7\u0131na genel bak\u0131\u015f sa\u011flayacakt\u0131r.<\/p>\n

TRAM Flaps<\/strong><\/h3>\n

Alt kar\u0131ndan hasat edilen bir kapak t\u00fcr\u00fc, TRAM (enine rektus abdominis kas\u0131) kapa\u011f\u0131d\u0131r. Bir TRAM kanad\u0131 bir pedik\u00fcl veya serbest bir kanad\u0131 prosed\u00fcr\u00fc olarak ger\u00e7ekle\u015ftirilebilir. Karn\u0131ndan deri, ya\u011f ve kas dokusunun oval bir k\u0131sm\u0131 al\u0131nabilir. Pedik\u00fcl flebi versiyonunda, flebe kan sa\u011flamak i\u00e7in kas dokusu ve kan damarlar\u0131 ba\u011fl\u0131 kal\u0131r. Bir veya her iki memenin de yeniden yap\u0131land\u0131r\u0131ld\u0131\u011f\u0131na ba\u011fl\u0131 olarak, kanad\u0131n bir veya iki yar\u0131s\u0131 buna g\u00f6re kullan\u0131lacakt\u0131r. Flep, derinin alt\u0131na g\u00f6\u011f\u00fcs b\u00f6lgesine t\u00fcnellenir ve yeni meme h\u00f6y\u00fc\u011f\u00fc olu\u015fturulur. TRAM pedik\u00fcl flebi kar\u0131n dokusunu kullanan di\u011fer fleplerle benzerlik g\u00f6sterse de, mikrocerrahinin komplikasyonlar\u0131n\u0131 \u00f6nleyen daha k\u0131sa bir cerrahidir. Bununla birlikte, TRAM pedik\u00fcl flepinin bir dezavantaj\u0131, kar\u0131n dokusunun bozulmas\u0131na neden olabilecek kas dokusunun bozulmas\u0131n\u0131n daha muhtemel olmas\u0131d\u0131r. Serbest flep versiyonunda cilt ve ya\u011f dokusu karn\u0131ndan ayr\u0131l\u0131r. Mikrocerrahi, g\u00f6\u011f\u00fcsteki kan damarlar\u0131n\u0131 yeni yerle\u015ftirilen kapa\u011fa ba\u011flamak i\u00e7in kullan\u0131l\u0131r. Serbest flep modeli, cerrah\u0131n kar\u0131n kas\u0131n\u0131n tamam\u0131n\u0131 olmasa da \u00e7o\u011funu korumas\u0131na izin verebilir.<\/p>\n

DIEP & SIEP Serbest Kapaklar\u0131<\/strong><\/h3>\n

Abdominal b\u00f6lgeden benzer iki flep tipi, onlar\u0131 besleyen damarlar i\u00e7in adland\u0131r\u0131lm\u0131\u015ft\u0131r. Bir DIEP (derin alt epigastrik perforat\u00f6r) flep, ana kan olarak derin alt epigastrik arteri ve veni besleyen dokuyu kullan\u0131r. Bir SIEP (y\u00fczeysel alt epigastrik perforat\u00f6r) flebi, birincil kan beslemesiyle y\u00fczeysel alt epigastrik artere sahiptir. Hem DIEP hem de SIEP serbest flep prosed\u00fcr\u00fcnde, kar\u0131n i\u00e7ine oval bir kesi yap\u0131l\u0131r ve cilt ve ya\u011f dokusu eksize edilir. TRAM i\u00e7ermeyen bir flepte oldu\u011fu gibi, cerrah da kanlar\u0131n\u0131 yeni damarlar\u0131na ba\u011flamak i\u00e7in mikrocerrahi kullan\u0131r.<\/p>\n

Gluteal Free Flaps<\/strong><\/h3>\n

Kal\u00e7a b\u00f6lgesinden elde edilen iki kanat tipi de onlar\u0131 besleyen gemiler i\u00e7in adland\u0131r\u0131lm\u0131\u015ft\u0131r. Bir SGAP (\u00fcst\u00fcn gluteal arter perforat\u00f6r\u00fc) serbest flebi, birincil kan\u0131 olarak \u00fcst\u00fcn gluteal arter ve veni sa\u011flayan deri ve ya\u011f dokusunu kullan\u0131r. Bir IGAP (inferior gluteal arter perforat\u00f6r\u00fc) serbest flep, primer kan\u0131 olarak inferior gluteal arteri ve veni besleyen dokuyu kullan\u0131r. Bir SGAP i\u00e7in oval \u015fekilli doku kapa\u011f\u0131 \u00fcst kal\u00e7adan al\u0131n\u0131r, oysa bir IGAP i\u00e7in doku alt kal\u00e7adan al\u0131n\u0131r. Mikrocerrahi, bu prosed\u00fcrde de kullan\u0131l\u0131r, g\u00f6\u011f\u00fcsteki kan damarlar\u0131n\u0131n flepte bulunanlara ba\u011flanmas\u0131n\u0131 sa\u011flar.<\/p>\n

Latissimus Dorsi Pedicle Flap<\/strong><\/h3>\n

Bir Lat (Latissimus Dorsi) Pedicle Flap, yeni bir g\u00f6\u011f\u00fcs h\u00f6y\u00fc\u011f\u00fc olu\u015fturmak i\u00e7in \u00fcst s\u0131rt\u0131n\u0131zdan dokular kullan\u0131r. Lat flep prosed\u00fcr\u00fc, omuz kanad\u0131n\u0131n alt\u0131nda ve koltuk alt\u0131 alt\u0131nda bulunan b\u00fcy\u00fck latissimus dorsi kas\u0131 i\u00e7in adland\u0131r\u0131lm\u0131\u015ft\u0131r. \u0130\u015flem, kay\u0131p meme dokusunu yeniden \u015fekillendirmek i\u00e7in kas, cilt ve ya\u011f\u0131n bu alandan g\u00f6\u011fs\u00fcn \u00f6n\u00fcne ta\u015f\u0131nmas\u0131n\u0131 i\u00e7erir. Kas, koltuk alt\u0131 b\u00f6lgesine ba\u011fl\u0131 kal\u0131r ve kan damarlar\u0131, kan\u0131n kanlanmas\u0131n\u0131 sa\u011flamak i\u00e7in sabit ve sa\u011flam kal\u0131r.<\/p>\n

Silikonlar \u0130le\u00a0 Yeniden Yap\u0131lanma Se\u00e7enekleri<\/strong><\/h3>\n

Fark\u0131nda oldu\u011funuz gibi, meme rekonstr\u00fcksiyonunun bir\u00e7ok se\u00e7ene\u011fi vard\u0131r. \u0130mplantlar, tek ba\u015f\u0131na veya bir kapakla kombinasyon halinde, eksik meme kesesini yeniden olu\u015fturma prosed\u00fcr\u00fc i\u00e7in kullan\u0131labilir. Bir deri koruyucu mastektomi yap\u0131l\u0131rsa, burada g\u00f6\u011f\u00fcs derisinin b\u00fcy\u00fck k\u0131sm\u0131 korunursa, g\u00f6\u011fs\u00fc derhal yeniden yap\u0131land\u0131rmak i\u00e7in tek ba\u015f\u0131na bir implant kullan\u0131labilir. Genel cerrah mastektomiyi tamamlad\u0131ktan sonra, plastik cerrah yerinde tutmak i\u00e7in implant\u0131 pektoralis kas\u0131n\u0131n alt\u0131na yerle\u015ftirir. Mastektomi cildi g\u00f6\u011fs\u00fcnde d\u00fcz ve s\u0131k\u0131 bir \u015fekilde b\u0131rak\u0131rsa, iki a\u015famal\u0131 bir implant i\u015flemi kullan\u0131labilir. \u0130lk a\u015famada, ge\u00e7ici bir doku geni\u015fletici, tuzlu su \u00e7\u00f6zeltisi ad\u0131 verilen az miktarda steril tuzlu su ile yerle\u015ftirilir ve hafif\u00e7e geni\u015fletilir. Doku geni\u015fletici, d\u00fczenli ziyaretlerde az miktarda salin enjekte edilerek birka\u00e7 hafta yava\u015f yava\u015f b\u00fcy\u00fct\u00fcl\u00fcr. Doku, yeni g\u00f6\u011fs\u00fcn\u00fcz i\u00e7in istenen boyuta geni\u015fledi\u011finde, i\u015flemin ikinci a\u015famas\u0131, geni\u015fleticiyi kal\u0131c\u0131 bir salin dolgulu veya silikon jel dolgulu meme implant\u0131 ile de\u011fi\u015ftirir. Baz\u0131 durumlarda, doku geni\u015fletici implant olarak g\u00f6rev yapmak i\u00e7in yerinde b\u0131rak\u0131l\u0131r ve i\u015flemin ikinci a\u015famas\u0131 gerekli de\u011fildir. Radyasyonla kanser tedavisi ba\u015far\u0131l\u0131 bir implant prosed\u00fcr\u00fc olas\u0131l\u0131\u011f\u0131n\u0131 azaltabilir ve cerrah\u0131n\u0131zla tart\u0131\u015f\u0131lmal\u0131d\u0131r.<\/p>\n

Yeni Teknikler ve Ek Destek<\/strong><\/h3>\n

Pop\u00fcler meme rekonstr\u00fcksiyon prosed\u00fcrleri vurgulan\u0131rken, cerrahlar aktif olarak sonu\u00e7lar\u0131 iyile\u015ftirmek i\u00e7in yeni teknikleri ara\u015ft\u0131r\u0131yor ve test ediyorlar. Bazen meme rekonstr\u00fcksiyonu<\/a> prosed\u00fcrleri b\u00fcy\u00fcme ve iyile\u015fme i\u00e7in ek desteklerden yararlan\u0131r. Cerrahlar, bu ama\u00e7 i\u00e7in ba\u011f\u0131\u015flanm\u0131\u015f insan veya hayvan derisinden olu\u015fturulan sentetik bir a\u011f veya \u00fcr\u00fcnler kullanabilirler. Genel olarak asel\u00fcler dermal matriks olarak bilinen\u00a0 deriden yap\u0131lan \u00fcr\u00fcnler, v\u00fccudun materyali reddetmesini \u00f6nleyen ve hastal\u0131klar\u0131n bula\u015fmas\u0131n\u0131 \u00f6nleyen h\u00fccreleri uzakla\u015ft\u0131rm\u0131\u015ft\u0131r. Sentetik mesh ve asel\u00fcler dermal matris \u00fcr\u00fcnleri, implantlar\u0131n veya fleplerin boyutunu ve a\u011f\u0131rl\u0131\u011f\u0131n\u0131 bar\u0131nd\u0131rabilir, flep yer de\u011fi\u015ftirdikten sonra kar\u0131n dokular\u0131n\u0131 onarabilir ve destekleyebilir ve iyile\u015fme s\u0131ras\u0131nda yeni g\u00f6\u011f\u00fcs dokusunu besleyen \u00e7evre dokular\u0131 kolayla\u015ft\u0131rabilir.<\/p>\n

\u0130\u015flem<\/strong><\/h3>\n

Hangi rekonstr\u00fcksiyon se\u00e7ene\u011finin se\u00e7ildi\u011fine bak\u0131lmaks\u0131z\u0131n, hemen bir mastektomi prosed\u00fcr\u00fcnden veya \u00f6nceki bir mastektominin izi boyunca g\u00f6\u011f\u00fcste bir insizyon yap\u0131l\u0131r. Flep, geni\u015fletici veya implant\u0131 tutmak i\u00e7in cep benzeri bir a\u00e7\u0131kl\u0131k olu\u015fturulmu\u015ftur. Pedik\u00fcl flep prosed\u00fcr\u00fc yap\u0131l\u0131rsa, derinin alt\u0131nda hasat b\u00f6lgesinden g\u00f6\u011fse do\u011fru bir t\u00fcnel olu\u015fturulur ve doku flep t\u00fcnelden yava\u015f\u00e7a g\u00f6\u011f\u00fcs b\u00f6lgesine do\u011fru itilir. Kanat, g\u00f6\u011fs\u00fcn \u00fczerine yerle\u015ftirildikten ve kan kayna\u011f\u0131na uygun \u015fekilde tak\u0131ld\u0131ktan sonra, s\u0131v\u0131 birikmesini \u00f6nlemek i\u00e7in drenaj borular\u0131 tipik olarak hasat yerine yak\u0131n bir yere yerle\u015ftirilir. Serbest flepler ve implantlar veya geni\u015fleticilerle rekonstr\u00fcksiyon i\u00e7in, drenaj t\u00fcpleri de iyile\u015fme s\u0131ras\u0131nda s\u0131v\u0131 toplamak i\u00e7in yeniden yap\u0131land\u0131r\u0131lm\u0131\u015f g\u00f6\u011f\u00fcs dokusuna yerle\u015ftirilebilir. Flep, geni\u015fletici veya implant yerle\u015ftirildikten sonra, diki\u015fler diki\u015fler, cilt yap\u0131\u015ft\u0131r\u0131c\u0131s\u0131 veya cerrahi bantla kapat\u0131l\u0131r.<\/p>\n

Yeniden Yap\u0131lanma<\/strong><\/h3>\n

Yeniden yap\u0131lanma t\u00fcr\u00fcn\u00fcze ba\u011fl\u0131 olarak, bir veya iki g\u00fcn hastanede kal\u0131nabilir. Ameliyattan sonra birka\u00e7 g\u00fcn i\u00e7erisinde azalabilecek veya birka\u00e7 hafta veya birka\u00e7 ay boyunca s\u00fcrebilen morarma ve \u015fi\u015flik hissedeceksiniz. Ameliyat s\u0131ras\u0131nda sinirler kesildi\u011finden, yeniden yap\u0131land\u0131r\u0131lm\u0131\u015f g\u00f6\u011fs\u00fcn\u00fcz\u00fcn normalde normal hassasiyeti korumad\u0131\u011f\u0131n\u0131 not etmek \u00f6nemlidir. Diren t\u00fcpleri genellikle ameliyattan birka\u00e7 g\u00fcn sonra \u00e7\u0131kar\u0131l\u0131r ve cerrah\u0131n\u0131z \u00e7\u00f6z\u00fcnmeyen diki\u015fler kulland\u0131ysa, tipik olarak bir veya iki hafta i\u00e7inde al\u0131n\u0131r. Kesiklerden kaynaklanan izler zamanla \u00f6nemli \u00f6l\u00e7\u00fcde kaybolur, ancak genellikle tamamen yok olmaz. Doktorunuz, iyile\u015fme s\u00fcreniz i\u00e7in, kald\u0131rma ve aktivite k\u0131s\u0131tlamalar\u0131 dahil olmak \u00fczere ayr\u0131nt\u0131l\u0131 talimatlar ve iyile\u015fme s\u0131ras\u0131nda stabilite sa\u011flamak i\u00e7in bir destek giysisi giymeniz gerekip gerekmedi\u011fi konusunda size ayr\u0131nt\u0131l\u0131 talimatlar verecektir.<\/p>\n

D\u00fczeltmeler<\/strong><\/h3>\n

\u0130lk rekonstr\u00fcksiyon prosed\u00fcr\u00fcn\u00fcz meme kesesi olu\u015ftururken, g\u00f6\u011f\u00fcslerinize daha do\u011fal bir g\u00f6r\u00fcn\u00fcm kazand\u0131rmak i\u00e7in sonraki prosed\u00fcrlerden ge\u00e7me se\u00e7ene\u011finiz vard\u0131r. Bunlar, daha simetrik bir g\u00f6r\u00fcn\u00fcm elde etmek i\u00e7in yeniden yap\u0131land\u0131r\u0131lm\u0131\u015f memenin, di\u011fer memenin revize edilmesini veya bir meme ucu ve areola olu\u015fturma prosed\u00fcrlerini i\u00e7erebilir. Mevcut meme derisi ve dokusu kullan\u0131larak bir meme ucu olu\u015fturulabilir. Bazen cilt v\u00fccudun ba\u015fka yerlerinden al\u0131nabilir ve areola olu\u015fturmak i\u00e7in kullan\u0131labilir. \u0130yile\u015fmeden sonra, yeniden yap\u0131lan meme ucu ve \u00e7evresini d\u00f6vme yaparak areolar pigmentasyonu sa\u011flanabilir. Art\u0131k meme rekonstr\u00fcksiyonu i\u00e7in \u00e7ok \u00e7e\u015fitli se\u00e7eneklere sahipsiniz. Yeni yakla\u015f\u0131mlar da de\u011ferlendirilmektedir ve mevcut prosed\u00fcrlerin pop\u00fclaritesi teknikler geli\u015ftik\u00e7e de\u011fi\u015febilir. Cerrah\u0131n\u0131z, v\u00fccudunuz ve ya\u015fam tarz\u0131n\u0131z i\u00e7in hangi prosed\u00fcr\u00fcn en iyi oldu\u011funu belirleme se\u00e7eneklerini de\u011ferlendirmenize yard\u0131mc\u0131 olacakt\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Meme Rekonstr\u00fcksiyonu (Yeniden \u015eekillendirme) Anatomi Meme, \u015fekil sa\u011flayan ya\u011f dokusu ile \u00e7evrili meme bezlerinden, s\u00fct kanallar\u0131ndan, destek sa\u011flayan ba\u011flardan ve ba\u011f dokusundan olu\u015fur. Pektoralis kaslar\u0131 g\u00f6\u011f\u00fcslerin alt\u0131nda yatar, bunlar\u0131 kaburgalar\u0131n\u0131zdan ay\u0131r\u0131r. Meme, meme ucundaki minik kas lifleri d\u0131\u015f\u0131nda kas dokusu i\u00e7ermez. Meme ucunun etraf\u0131ndaki dairesel, koyu renkli b\u00f6lgeye areola denir. Kan, memeye bir kan damar\u0131 […]<\/p>\n","protected":false},"author":3,"featured_media":1321,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[734],"tags":[735,736],"yoast_head":"\nMeme Rekonstr\u00fcksiyonu (Yeniden \u015eekillendirme) - Turkey Istanbul Medical<\/title>\n<meta name=\"description\" content=\"Meme rekonstr\u00fcksiyonu prosed\u00fcrleri, hangi i\u015flemin se\u00e7ildi\u011fine,\u00a0 bir veya iki g\u00f6\u011fs\u00fcn yeniden yap\u0131land\u0131r\u0131l\u0131p yap\u0131land\u0131r\u0131lmad\u0131\u011f\u0131na ba\u011fl\u0131 olarak genelde iki..\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/turkeyistanbulmedical.com\/tr\/meme-rekonstruksiyonu-yeniden-sekillendirme\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Meme Rekonstr\u00fcksiyonu (Yeniden \u015eekillendirme)\" \/>\n<meta property=\"og:description\" content=\"Meme rekonstr\u00fcksiyonu prosed\u00fcrleri, hangi i\u015flemin se\u00e7ildi\u011fine,\u00a0 bir veya iki g\u00f6\u011fs\u00fcn yeniden yap\u0131land\u0131r\u0131l\u0131p yap\u0131land\u0131r\u0131lmad\u0131\u011f\u0131na ba\u011fl\u0131 olarak genelde iki..\" \/>\n<meta property=\"og:url\" content=\"https:\/\/turkeyistanbulmedical.com\/tr\/meme-rekonstruksiyonu-yeniden-sekillendirme\/\" \/>\n<meta property=\"og:site_name\" content=\"Turkey Istanbul Medical\" \/>\n<meta property=\"article:published_time\" content=\"2019-12-03T13:57:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-05-24T10:36:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/05\/breasts-reconstructed.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"720\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Turkey Istanbul Medical\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Organization\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#organization\",\"name\":\"Turkey Istanbul Medical\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"sameAs\":[],\"logo\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\",\"inLanguage\":\"tr-TR\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"contentUrl\":\"https:\/\/turkeyistanbulmedical.com\/wp-content\/uploads\/2021\/04\/cropped-TIM-1-1-1.png\",\"width\":394,\"height\":324,\"caption\":\"Turkey Istanbul Medical\"},\"image\":{\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#logo\"}},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/turkeyistanbulmedical.com\/#website\",\"url\":\"https:\/\/turkeyistanbulmedical.com\/\",\"name\":\"Turkey Istanbul Medical\",\"description\":\"Healthcare consulting - 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