New techniques, new devices and new trends appear in aesthetic surgery every year, and not all of them deserve the attention they get.
In this column I take one current debate at a time and write down how I read it as a surgeon: what the published evidence shows, what I see in my own patients in Istanbul, and what I would tell someone who is considering the procedure or the technology in question.
These are opinion pieces, not advertisements. Where a popular method has real limitations I say so, including methods I use in my own practice.
If a topic here has been on your mind, the pieces below are written for you.
Dr. M. Mustafa Aydınol – Plastic, Reconstructive and Aesthetic Surgeon
Member of ISAPS & Turkish Society of Plastic Reconstructive and Aesthetic Surgeons
A reality star went in for eyelid surgery and woke up with fat in her lips, jaw and eyes, then spent nine months trying to undo it. Here are the three errors in that story, the consent rule that prevents the first one, and what can actually be removed after a fat transfer to the face.
The explant trend, the FDA boxed warning and two new meta-analyses: what removal actually fixes, what it does not, and the workup I insist on before agreeing to take implants out.
Patients over 66 grew 24 percent in a year, faster than any other group. What they are actually asking for, why the weight-loss wave reaches them too, and how the same operations are planned differently at 70.
The 2025 ASPS report is being read as a growth story. The real story is who is having surgery and why: rhinoplasty and BBL down, lifts and eyelids up, patients under 35 doing less and patients over 66 doing 24 percent more. A surgeon in Istanbul reads the same shift in his own consultations.
The first large randomized trial of liposuction for lipedema is out: 68 percent of surgical patients had meaningful pain relief against 8 percent with compression alone. Here is what that changes, what the complication numbers mean, and who should still wait.
The most searched cheek operation is also the one you cannot undo. Here is what CT studies show the cheek does with age, who a buccal fat pad removal actually suits, and who should not have it.
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