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Öğe Follicular unit extraction as a valuable method for the restoration of beard: Retrospective case series study(Blackwell Publishing Ltd, 2020) Civaş, Ekrem; Aksoy, Berna; Aksoy, Hasan Mete; Erdal Çalıkoğlu, EmelBackground: Beard and mustache are important components of body image. Beard transplantation is the procedure to restore congenital absence or inefficient growth of beard and mustache. Objectives: The aim of the study is to report our results and experience in beard transplantation. Methods: Patients with a demand for beard restoration who were treated with follicular unit extraction (FUE) hair transplantation method were included in this retrospective, case series study. Patients’ birth date, race, presence of eunuchoidism, hair color, type and shaft thickness, and treatment details were retrieved from medical records. Patients were evaluated at least one year after the operation, and defect closure rates were calculated. At the follow-up examination, patients were asked to evaluate their satisfaction from the procedure. Results: Ten patients were consecutively treated between May 2007 and June 2016. The mean age of the patients was 29.6 years. Three of our patients were eunuchoid and the others wanted beard transplantation to have a more masculine look. Follow-up period was median of 39 months. Four patients were satisfied and four patients were very satisfied with the procedure with a mean 53% closure rate. Better closure rates were associated with brown and red hair color, medium and fine hair thickness, and absence of eunuchoidism. Patients with straight hair were satisfied with the procedure significantly. Conclusion: Beard reconstruction by using the FUE method is a safe and effective method with high patient satisfaction rates.Öğe Systemic retinoids and scar dehiscence(Wolters Kluwer Medknow Publications, 2019) Aksoy, Hasan Mete; Aksoy, Berna; Çalıkoğlu, EmelSystemic retinoids such as isotretinoin and acitretin are associated with numerous side effects but are therapeutically valuable in dermatological practice. Several studies have reported the wound-healing effects of treatment with concurrent systemic retinoids in addition to surgical treatments. Herein, we describe two patients with scar dehiscence that developed after initiation of systemic retinoid treatment following cutaneous surgery. In Case 1, isotretinoin was thought to decrease collagen production to a greater degree than did degradation during the wound remodeling phase, which resulted in wound dehiscence. In Case 2, acitretin was thought to decrease fibroblast proliferation and collagen production during the proliferation phase of wound healing, which resulted in wound dehiscence. Based on the two presented cases, it is advisable to postpone systemic retinoid treatment for 6 months to 1 year following cutaneous surgery, located especially in cosmetically important sites.Öğe The effectiveness of topical scar-reducing therapies administered for scarring due to burns and other causes: A retrospective pilot clinical research(Sağlık Bilimleri Üniversitesi, 2018) Aksoy, Hasan Mete; Aksoy, Berna; Tatlıparmak, Aslı; Çalıkoğlu, EmelAims: Multiple modalities are used to treat scarring; however, data on the efficacy of the topical scar-reducing treatments most frequently used by patients is insufficient. This study aimed to retrospectively determine the effectiveness of topical scar-reducing treatments and patients’ compliance. Methods: The medical records of patients adimitted for the treatment of scarring were retrospectively evaluated. Patient satisfaction with the treatment was assessed via telephone interviews. Each patient also sent recent photographs of their scars. Pre- and post-treatment photographs were scored according to the Manchester Scar Scale, and in terms of vascularity and scar surface area (modified MSS ). Results: The study included 71 patients with a median scar age of 18 days at the time treatment was initiated. Mean duration of follow-up was 41 months. The prescribed treatments included onion extract, silicone gel or sheet, and a pressure garment. The patients reported that the treatments were effective, they were satisfied with the treatments, and the treatments were not excessively difficult to apply. MSS and ModMSS scores decreased significantly following treatment. Conclusions: The prescribed topical scar-reducing treatments effectively improved the cosmetic appearance of the patients’ scars and reduced scar-related symptoms. The effectiveness of the topical scar-reducing therapies increased as scar age decreased.Öğe Topical polyphenol treatment of sacrococcygeal pilonidal sinus disease: use of ultrasonography to evaluate response to treatment - clinical case series study(Termedia Publishing House Ltd, 2019) Aksoy, Hasan Mete; Aksoy, Berna; Özkur, Ezgi; Çalıkoğlu, EmelIntroduction: Sacrococcygeal pilonidal sinus disease (SPSD) is a common disorder and encountered more frequently in hairy young males after puberty. Aim: To assess effectiveness of topical polyphenol treatment of SPSD by using physical examination and ultrasonography (USG). Material and methods: Fourteen patients with SPSD diagnosis were treated by natural polyphenol products and were retrospectively included in this study. All of the patients were assessed by superficial ultrasonography before and after treatment. Demographic and clinical information of the patients was obtained from medical records. Results: Patients were aged 18-45 years and the median disease duration was 2 years. The most common findings in physical examination were sinus openings and subcutaneous nodules and the most common ultrasonographic findings were abscess/cyst formation and presence of fistula at the pre-treatment visit. All of the patients applied topical polyphenols for a median period of 3 months. Topical polyphenol treatment was effective in 92.9% of patients. Follow-up examinations at 18.3 months post-treatment revealed that 12 (85.7%) patients were free of disease. Control physical examination and ultrasonographic assessment were completely normal in 11 (78.6%) patients. Conclusions: Topical polyphenol therapy is a promising alternative treatment for SPSD and its effectiveness can be objectively evaluated by ultrasonography. It is advised that topical polyphenols should be tried first in every young and active patient with SPSD. Majority of these patients can avoid demanding and expensive alternative treatment methods such as complex surgical procedures. This topical therapy method makes surgical SPSD a dermatologically treatable disease.
