Plastic, Reconstructive and Aesthetic Surgeon
A successful outcome in aesthetic surgery is not defined by appearance alone. Patient safety, selecting the right procedure for the right patient, and appropriate follow-up throughout the recovery process are fundamental parts of surgical planning.
In Dr. Atilla Fesli’s approach, surgical planning is not based solely on the change a patient wants to achieve. General health, medical history, medications, previous surgeries, tissue characteristics, and the extent of the planned procedure are evaluated together.
The goal is not to perform as many procedures as possible, but to plan the appropriate procedure, at the appropriate extent, within the boundaries of safe surgery.
No.
The fact that an aesthetic procedure is technically possible does not mean that it is appropriate for every patient.
Certain uncontrolled medical conditions, smoking or nicotine use, conditions that may affect healing, some medications, or risks associated with the planned procedure may require changes to the surgical plan.
In some cases, surgery may need to be postponed, additional tests or specialist consultations may be required, planned procedures may need to be reduced, or multiple procedures may need to be performed separately.
When necessary, deciding not to operate is also part of patient safety.
Surgical procedures are performed in licensed hospital settings with the medical infrastructure required for the planned operation.
For procedures requiring anesthesia, preoperative patient assessment and anesthesia planning are important parts of the process.
The environment in which surgery is performed is important, but so is appropriate monitoring during the early postoperative period.
In selected patients, different procedures may be safely combined during the same operation.
However, combinations involving procedures such as Mommy Makeover, breast surgery, tummy tuck, or liposuction should not be treated as standardized surgical packages.
The patient’s overall health, BMI, nicotine use, extent of the planned procedures, expected operating time, and individual risk of complications should all be considered.
The question should not be:
“How many procedures can we perform in one operation?”
It should be:
“Which procedures can we safely plan for this patient?”
Planning aesthetic surgery involves more than simply identifying the change the patient would like to make.
During a preoperative evaluation with Dr. Atilla Fesli, the patient’s anatomy, health status, expectations, and available surgical options are considered together.
The first question should not simply be:
“What would you like to have done?”
It should also be:
“What is the anatomical cause of the concern, and which approach is appropriate for addressing it?”
Although the assessment varies according to the planned procedure, it generally includes the patient’s medical history, previous surgeries, medications and supplements, allergies, smoking or nicotine use, previous aesthetic treatments, and expectations.
This is followed by an anatomical assessment of the area being considered for treatment.
For example, rhinoplasty planning involves not only the shape of the nose but also its structure and breathing function. Breast surgery considers not only the desired size but also chest dimensions, existing breast tissue, skin quality, nipple position, and asymmetry. Facial rejuvenation evaluates not only wrinkles but also the skin, volume changes, and deeper tissue changes.
The necessary preoperative tests are determined according to the planned surgery, the patient’s age, and overall health.
Additional imaging, evaluation by another medical specialty, or an anesthesia consultation may be requested when necessary.
Patients should inform their doctor about all prescription medications, over-the-counter products, and supplements they use.
Medications should not be stopped or their doses changed without medical advice.
An important part of the preoperative consultation is establishing realistic expectations.
Aesthetic surgery cannot guarantee perfection or mathematical symmetry.
The human face and body are naturally asymmetric, and healing varies from person to person.
For this reason, the consultation should address not only “What can be done?” but also “What cannot be achieved?”
Aesthetic surgery does not end when the operation is completed.
Monitoring recovery, attending follow-up appointments, and planning a safe return to everyday activities are all part of the surgical process.
Each procedure has a different recovery course, and even two patients undergoing the same operation may recover at different rates.
Depending on the procedure, swelling, bruising, tightness, tenderness, or temporary changes in sensation may occur.
Some operations may require compression garments, surgical bras, splints, or other supportive materials.
How long these are used depends on the procedure and the patient’s individual recovery.
There is no single answer that applies to every patient or every operation.
Returning to desk work, driving, exercise, swimming, heavy lifting, or long-distance flights should each be considered separately.
The stage of healing is more important than following a fixed calendar.
For this reason, recommendations based on the patient’s own recovery should take priority over generalized timelines found online.
The appearance immediately after surgery is usually not the final result.
Swelling needs to decrease, tissues need to settle, scars need to mature, and the body needs time to adapt to the anatomical changes.
With some procedures, the result becomes clearer over several months, while changes after procedures such as rhinoplasty may continue for a longer period.
Recovery is not a single event. It is a process.
Follow-up does not necessarily end when sutures are removed or the early healing period is complete.
When appropriate, later appointments may be used to assess tissue settling, scar maturation, and the progression of the surgical result.
Patients should contact their surgical team if they experience unexpected symptoms or concerns during recovery.
The patient’s medical history, medications, previous surgeries, anatomical characteristics, expectations, and suitability for the planned procedure are evaluated.
An online assessment can be useful during the initial planning stage, particularly for international patients. However, the necessary in-person medical and physical assessment should be completed before surgery.
In selected patients, yes. However, combining procedures is not automatically appropriate. The total operating time, the patient’s health, and individual risks should be evaluated before making this decision.
No. Surgical outcomes are influenced by the patient’s anatomy, tissue characteristics, and individual healing response. The aim of aesthetic surgery is to plan an appropriate change within realistic expectations.
This depends on the type of procedure, the physical demands of the patient’s work, and individual recovery. There is no single return-to-work timeline that applies to every operation.
The timing of returning to light activity and more intensive exercise varies according to the procedure. Exercise should be resumed gradually according to the stage of recovery.
Smoking and other nicotine products can affect tissue blood supply and wound healing. Nicotine use should therefore always be discussed during the preoperative assessment.
Procedures involving surgical incisions leave scars. Scars may mature and become less noticeable over time, but they cannot be guaranteed to disappear completely.
The appropriate length of stay depends on the procedure and the patient’s recovery. A return date can be planned before surgery but may need to be adjusted according to the healing process.
Yes. An evaluation with Dr. Atilla Fesli can be arranged in Doha, Qatar or Antalya, Türkiye.
Treatment should be selected according to the anatomical cause of the concern rather than the popularity of a particular procedure.
The core principle in Dr. Atilla Fesli’s approach is:
The procedure should be adapted to the patient — not the patient to the procedure.
Dr. Atilla Fesli evaluates international patients as well as patients from Türkiye.
Consultations can be arranged in Antalya, Türkiye and Doha, Qatar.
For international patients, aesthetic surgery involves more than organizing the operation itself. Travel, preoperative assessment, the hospital period, early postoperative checks, and the appropriate timing of the return journey should all be planned together.
For patients living abroad, an initial remote assessment may be arranged.
Depending on the procedure being considered, photographs and available medical information may help provide an initial understanding of which surgical options could be discussed.
However, an online assessment does not replace the in-person medical examination required before surgery.
The final surgical plan is established after the necessary physical and medical assessments have been completed.
The appropriate arrival date and the amount of time a patient should remain in Antalya after surgery depend on the procedure.
Rhinoplasty, breast surgery, facelift, and body contouring procedures do not have identical recovery and follow-up requirements.
For this reason, travel plans for international patients should be individualized according to the operation.
The timing of air travel should not be determined solely by flight availability or travel plans.
The extent of surgery, the patient’s recovery, thrombosis risk, and the need for early postoperative checks should all be considered.
Travel plans should follow the medical recovery timeline — not the other way around.
After returning to their home country, patients may continue appropriate follow-up online when suitable.
However, online follow-up cannot replace an in-person examination in every medical situation. If necessary, patients may be advised to undergo a physical examination or medical evaluation in their own country.
Op. Dr. Atilla Fesli
Doha, Qatar
Plastic and Aesthetic Surgery in Doha, Qatar
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