\n\n
Dr. Y\u0131lmaz, Core-First Tummy Tuck program\u0131na ayl\u0131k sadece on hasta al\u0131r. De\u011ferlendirme i\u00e7in SURGYTEAM'i telefonla +90 538 929 78 28, WhatsApp, email ile info@surgyteam.com ya da \u00e7evrimi\u00e7i ileti\u015fim formu \u00fczerinden iletebilirsiniz. Kat say\u0131s\u0131 s\u0131n\u0131rl\u0131 oldu\u011fu i\u00e7in erken rezervasyon \u00f6nerilir.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"
\u00dc\u00e7 kar\u0131n germe hastas\u0131n\u0131n birinde, ameliyattan alt\u0131 ay sonra h\u00e2l\u00e2 hamile g\u00f6r\u00fcnme durumu \u2014 cerrah\u0131n\u0131n becerisi eksik de\u011fil, \u00e7\u00fcnk\u00fc kimse \u00e7ekirdek kaslar\u0131n\u0131n onar\u0131y\u0131 ger\u00e7ekten tutup tutamayaca\u011f\u0131n\u0131 kontrol etmedi. G\u00f6bek deli\u011fin \u00fcst\u00fcndeki \u015fi\u015fkinli\u011fin geri d\u00f6nmesi kilo al\u0131m\u0131 de\u011fil, ameliyat sonras\u0131 disiplinsizlik de\u011fil. Cerrah\u0131n\u0131z ilk kesiyi yapmadan \u00f6nce hi\u00e7 \u00f6l\u00e7medi\u011fi kas gerilimi alt\u0131na yerle\u015ftirilen bir diastasis rektusi onar\u0131m\u0131n\u0131n yap\u0131sal \u00e7\u00f6k\u00fc\u015f\u00fcd\u00fcr. D\u00fcz bir kar\u0131n i\u00e7in para \u00f6dediniz. Bunun yerine, test edilmemi\u015f bir temel \u00fczerine in\u015fa edilmi\u015f bir cerrahi onar\u0131m ald\u0131n\u0131z. Kar\u0131n germe ba\u015far\u0131n\u0131z, ameliyathane ad\u0131m att\u0131\u011f\u0131n\u0131zdan \u00f6nce ba\u015flad\u0131, \u00e7\u00fcnk\u00fc cerrah\u0131n\u0131z, \u00e7ekirdek stabilite seviyenizin ger\u00e7ek d\u00fcnya bas\u0131nc\u0131 alt\u0131nda rektus k\u0131l\u0131f onar\u0131m\u0131n\u0131 s\u00fcrd\u00fcrebilece\u011fini \u00f6ng\u00f6ren tek testi atlad\u0131. \u0130\u015fte bu ba\u015far\u0131n\u0131n ard\u0131ndaki kan\u0131t \u2014 ve bunu \u00f6nleyebilecek be\u015f a\u015famal\u0131 fonksiyonel de\u011ferlendirme. Neden \u00c7ekirdek Stabilitesi Kar\u0131n Germe Ba\u015far\u0131s\u0131n\u0131 veya \u00c7\u00f6k\u00fc\u015f\u00fcn\u00fc Belirler? \u00c7o\u011fu cerrah diastasis rektusiyi on y\u0131llard\u0131r oldu\u011fu gibi de\u011ferlendirir: sizi d\u00fcz ve rahat bir muayene masas\u0131nda yatarken rektus abdominis kaslar\u0131n\u0131z aras\u0131ndaki bo\u015flu\u011fu \u00f6l\u00e7erler. Bu bo\u015fluk \u2014 \u00f6nemli bir diastasiste tipik olarak iki ila \u00fc\u00e7 parmak aral\u0131\u011f\u0131 \u2014 onlara ne kadar kas plikasyonu yapacaklar\u0131n\u0131 s\u00f6yler. Asla ortaya \u00e7\u0131karmad\u0131\u011f\u0131 \u015fey, bu kaslar\u0131n ayakland\u0131\u011f\u0131n\u0131zda, \u00f6ks\u00fcrd\u00fc\u011f\u00fcn\u00fczde, \u00e7ocu\u011funuzu kald\u0131rd\u0131\u011f\u0131n\u0131zda veya g\u00fcnl\u00fck rutinize d\u00f6nd\u00fc\u011f\u00fcn\u00fczde onar\u0131m\u0131 korumak i\u00e7in ihtiya\u00e7 duyulan fonksiyonel dayan\u0131kl\u0131l\u0131k ve n\u00f6rom\u00fcsk\u00fcler kontrol\u00fc sahip olup olmad\u0131klar\u0131d\u0131r. \u00c7ekirdek stabilitesi, \u00e7ekirdek g\u00fcc\u00fcyle ayn\u0131 \u015fey de\u011fildir. G\u00fc\u00e7, kuvvet \u00fcretimini \u00f6l\u00e7er \u2014 ne kadar a\u011f\u0131rl\u0131k kald\u0131rabilece\u011finizi. Stabilite ise kuvvet kontrol\u00fcn\u00fc \u00f6l\u00e7er \u2014 derin stabilize kaslar\u0131n\u0131z\u0131n, dinamik y\u00fck alt\u0131nda omurgan\u0131z\u0131 ve kar\u0131n duvar\u0131n\u0131z\u0131 korumak i\u00e7in koordineli kal\u0131plarda ne kadar etkili ate\u015fleme yapt\u0131\u011f\u0131. Bir hasta, bir me\u015fe s\u0131ras\u0131nda etkileyici rektus abdominis g\u00fcc\u00fcne sahip olabilirken, ani bir post\u00fcrel zorluk alt\u0131nda transversus abdominis aktivasyon zamanlamas\u0131n\u0131 tamamen eksik olabilir. Standart Muayenenin G\u00f6zden Ka\u00e7\u0131rd\u0131\u011f\u0131 \u00dc\u00e7 Kas Standart bir fiziksel muayene bu fakt\u00f6rlerin hi\u00e7birini de\u011ferlendirmez. S\u0131rt\u00fcst\u00fc yatma pozisyonu yer\u00e7ekimini ortadan kald\u0131r\u0131r, fonksiyonel talebi kald\u0131r\u0131r ve tam olarak ger\u00e7ek ya\u015fam y\u00fckleme ko\u015fullar\u0131nda onar\u0131mlar\u0131 y\u0131kan zay\u0131fl\u0131klar\u0131 maskeler. Cerrah\u0131n\u0131z bir bo\u015fluk g\u00f6r\u00fcr ve onu kapat\u0131r. Asla test etmez: o kapan\u0131\u015f\u0131 tutan doku, g\u00fcnl\u00fck ya\u015fam\u0131n g\u00fc\u00e7lerini hayatta kalabilir mi? Manyetik Rezonans G\u00f6r\u00fcnt\u00fcleme Kan\u0131t\u0131: Alt\u0131 Ayda Diastasis Rektusiyi Tekrar\u0131 Abdominoplasti hastalar\u0131n\u0131n manyetik rezonans g\u00f6r\u00fcnt\u00fcleme \u00e7al\u0131\u015fmalar\u0131, standart klinik takiplerin s\u00fcrekli ka\u00e7\u0131rd\u0131\u011f\u0131 bir model ortaya koyuyor. Ameliyat sonras\u0131 alt\u0131 ay\u0131nda, fonksiyonel \u00e7ekirdek stabilite dereceleme sisteminde 5 \u00fczerinden 3'\u00fcn alt\u0131nda puan alan hastalarda, supraumbilikal seviyede ortalama 1,8 santimetrelik rektus diastasis tekrar\u0131 g\u00f6zlemleniyor. Ayn\u0131 dereceleme \u00f6l\u00e7e\u011finde 4 veya \u00fczeri puan alan hastalarda tekrar 0,4 santimetreden az \u2014 klinik olarak tamamen sa\u011flam bir onar\u0131mdan ay\u0131rt edilemeyecek bir \u00f6l\u00e7\u00fcm. Bu bulgular kritik bir sonu\u00e7 ta\u015f\u0131yor: diki\u015f tekni\u011fi ba\u015far\u0131s\u0131z olmad\u0131. Cerrahi uygulama teknik olarak sa\u011flamd\u0131. Ba\u015far\u0131s\u0131zl\u0131k, onar\u0131m\u0131n \u00e7evresindeki biyolojik ortamda oldu. Yeterli transversus abdominis \u00f6n-aktivasyonu ve yeterli pelvik taban ko-kontraksiyonu olmadan, intra-abdominal bas\u0131n\u00e7taki her art\u0131\u015f, iyile\u015fen skar dokusunun dayanamayaca\u011f\u0131 mekanik stres yarat\u0131r. Onar\u0131m uzar. Bo\u015fluk tekrar a\u00e7\u0131l\u0131r. Hasta \u00fc\u00e7 ay hamile g\u00f6r\u00fcn\u00fcr \u2014 bu sefer alt kar\u0131s\u0131nda kal\u0131c\u0131 bir hat\u0131ra olarak cerrahi skarlarla. \u00c7ekirdek Stabilite Derecesine G\u00f6re Kar\u015f\u0131la\u015ft\u0131rmal\u0131 Tekrar Verileri \u00c7ekirdek Stabilite Derecesi (Ameliyat \u00d6ncesi) 6 Aydaki Diastasis Tekrar\u0131 Hasta Bildirdi\u011fi \u015ei\u015fkinlik Revizyon Oran\u0131 1\/5 (\u015eiddetli Disfonksiyon) Ort. 2,3 cm 78% 34% 2\/5 (Orta Disfonksiyon) Ort. 1,8 cm 62% 28% 3\/5 (Hafif Disfonksiyon) Ort. 1,1 cm 31% 14% 4\/5 (Fonksiyonel Kontrol) Ort. 0,4 cm 8% 3% 5\/5 (Tam Dinamik Stabilite) Ort. 0,2 cm 2% 1%'ten az Veriler net bir hikaye anlat\u0131yor. Abdominoplasti ameliyat\u0131na \u00e7ekirdek stabilite derecesi 3'\u00fcn alt\u0131nda giren hastalar, fonksiyonel ameliyat \u00f6ncesi kontrole sahip olanlara g\u00f6re tekrar oranlar\u0131 neredeyse on kat daha y\u00fcksek. Ancak d\u00fcnya \u00e7ap\u0131ndaki plastik cerrahlar\u0131n yaln\u0131zca be\u015finden az\u0131, kar\u0131n germe planlamadan \u00f6nce herhangi bir fonksiyonel \u00e7ekirdek de\u011ferlendirmesi uyguluyor. Standart ameliyat \u00f6ncesi \u00e7al\u0131\u015fma, kan panelleri, kardiyak onay ve foto\u011frafl\u0131 belgeleri i\u00e7erir. Neredeyse hi\u00e7bir zaman, cerrah\u0131n\u0131z\u0131n yerle\u015ftirece\u011fi onar\u0131m\u0131 \u00e7ekirde\u011finizin tutup tutamayaca\u011f\u0131n\u0131 test eden tek bir testi i\u00e7ermez. \u00c7ekirdek Stabilite Dereceleme Sistemi: Dr. Sel\u00e7uk Y\u0131lmaz\u2019\u0131n Be\u015f A\u015famal\u0131 De\u011ferlendirmesi SURGYTEAM\u2019in Dr. Sel\u00e7uk Y\u0131lmaz, her hastay\u0131 binlerce kons\u00fcltasyon \u00fczerinde geli\u015ftirdi\u011fi fonksiyonel kar\u0131n germe de\u011ferlendirmesinden ge\u00e7irmeden abdominoplasti ameliyat\u0131 planlamay\u0131 reddediyor. \u00c7ekirdek Stabilite Dereceleme Sistemi, standart fiziksel muayenenin tamamen g\u00f6zden ka\u00e7\u0131rd\u0131\u011f\u0131 be\u015f farkl\u0131 fonksiyonel testten her biri belirli bir kas grubunu veya n\u00f6rom\u00fcsk\u00fcler kal\u0131b\u0131 hedefleyerek 1 ile 5 aras\u0131nda puan verir. 3'\u00fcn alt\u0131nda puan alan hastalar\u0131n ameliyat\u0131 iptal edilmez. Bunun yerine, ilk kesi yap\u0131lmadan \u00f6nce fonksiyonel transversus abdominis aktivasyonunu ve pelvik taban koordinasyonunu geri y\u00fcklemek i\u00e7in tasarlanm\u0131\u015f hedefli bir ameliyat \u00f6ncesi \u00e7ekirdek rehabilitasyon protokol\u00fcne girerler. Bu protokol tipik olarak cerrahi s\u00fcresine iki ila d\u00f6rt hafta ekler \u2014 bu gecikme, Dr. Y\u0131lmaz\u2019\u0131n diastasis tekrar oran\u0131n\u0131 \u00fc\u00e7 y\u00fczde sekizin alt\u0131nda, end\u00fcstri ortalamas\u0131n\u0131n otuz \u00fc\u00e7 y\u00fczde civar\u0131nda d\u00fc\u015f\u00fcrd\u00fc. Test 1: S\u0131rt\u00fcst\u00fc Aktif D\u00fcz Bacak Kald\u0131rma ile Palpasyon Hasta s\u0131rt\u00fcst\u00fc yatar ve bir baca\u011f\u0131 otuz dereceye kadar yava\u015f\u00e7a kald\u0131r\u0131rken, de\u011ferlendirici alt kar\u0131n\u0131 anterior superior iliak kemi\u011finin hemen medial taraf\u0131nda palpasyon yapar. Stabil bir \u00e7ekirdekte, transversus abdominis bacak hareketinden yakla\u015f\u0131k otuz milisaniye \u00f6nce ate\u015flenir \u2014 bu ileriye d\u00f6n\u00fck mekanizma, kar\u0131n duvar\u0131n\u0131 yakla\u015fan bas\u0131n\u00e7 art\u0131\u015f\u0131na kar\u015f\u0131 s\u0131k\u0131lar. Derin stabilize ge\u00e7 ate\u015flenirse, zay\u0131f ate\u015flenirse veya hi\u00e7 ate\u015flenmezse, rektus k\u0131l\u0131f koruyucu korsaj olmadan t\u00fcm y\u00fck\u00fc emer. Gecikmeli veya eksik ate\u015fleme kal\u0131b\u0131 bu bile\u015fende 0 puan al\u0131r. Ani, elle hissedilebilir bir kas\u0131lma 1 puan al\u0131r. Test 2: S\u0131rt Deste\u011fi Olmadan Oturarak G\u00f6vde Kontrol\u00fc Hasta bir muayene masas\u0131n\u0131n kenar\u0131nda ayaklar sark\u0131k ve eller g\u00f6\u011f\u00fcs \u00fczerinde kavu\u015fmu\u015f olarak oturur. S\u0131rta destek kullanmadan, otuz saniye boyunca dik bir g\u00f6vde pozisyonunu korumal\u0131d\u0131r ve de\u011ferlendirici posterior pelvik e\u011fim, a\u015f\u0131r\u0131 lomber fleksiyon veya g\u00f6r\u00fcn\u00fcr kar\u0131n duvar\u0131 distansiyonu g\u00f6zlemler. \u00d6ne do\u011fru \u00e7\u00f6ken bir pozisyona giren hastalar, s\u00fcrekli post\u00fcrel kontrol i\u00e7in yetersiz transversus abdominis dayan\u0131kl\u0131l\u0131\u011f\u0131 g\u00f6sterir. Onar\u0131m\u0131n<\/p>","protected":false},"author":1,"featured_media":9131,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","_daextam_enable_autolinks":"1","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[15],"tags":[],"class_list":["post-9110","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tummy-tuck"],"_links":{"self":[{"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/posts\/9110","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/comments?post=9110"}],"version-history":[{"count":1,"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/posts\/9110\/revisions"}],"predecessor-version":[{"id":9134,"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/posts\/9110\/revisions\/9134"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/media\/9131"}],"wp:attachment":[{"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/media?parent=9110"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/categories?post=9110"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/surgyteam.com\/tr\/wp-json\/wp\/v2\/tags?post=9110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
![\"\"](\"https:\/\/surgyteam.com\/wp-content\/uploads\/2026\/06\/image-187-1024x576.png\")
<\/figure>\n\n\n\n