ASMED by Dr KORAY ERDOGAN - NEW PRESENTATION

[ASMEDMANUALFUE]

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ASMED SURGICAL MEDICAL CENTER by

Dr. KORAY ERDOGAN

 

 

Asmed is a medical surgical center (1600m2) whose staff consists of:

 

*7 medical doctors (three surgeons including Dr. Koray Erdoğan, two anesthesiologists, one dermatologist and one specialist in internal medicine)

 

*20 licensed surgical assistants (six hold university degrees and eightare certificated by the American Heart Association in Advanced Cardiovascular Life Support).Three are members in good standing of the ISHRS

 

 

 

 

 

 

*8 native speakers/translators to assist patients throughout their surgical procedure. The languages spoken include Italian, Spanish, English, German, French, Russian and Romanian.

 

The entire staff works full-time and exclusively in the field of hair transplantation.

 

One day prior to surgery, Dr. Koray Erdogan carefully determines the patient’s condition by manually examining the hair and scalp. This is accomplished with the patient’s normal hair length intact. During this examination, the doctor evaluates the patient’s individual donor capacity and temporal/parietal/occipital density as well as calculated density.

 

 

 

 

 

 

The occipital/periauricular/suboccipital calibers of hair and recipient areas are also calculated. After cuttingthe patient’s hair and shaving the scalp, all these calculations are repeated once again via aphoto studio computer program for additional verification.

 

 

 

 

 

 

At the end of the day, the surgical team meets to discuss the next day’s plans for the patient’s surgery. The discussions, led by Dr. Koray Erdogan, are primarily targeted around the establishment of hair/graft averages for the different parts of the donor area in order to accomplish the best homogenization of density.

 

 

 

 

 

 

 

At Asmed, FUE is performed exclusively by manual punch. The type of manual punches used (inside bevel, circular or serrated, sharp or dull and 0.6 mm, 0.7 mm, 0.75 mm, 0.8 mm, 0.85 mm in diameter) can vary and are determined by skin type and the caliber of the hair in order to capture the targeted hair/graft average that was previously planned for. Through an extensive consultation process, Dr. Koray Erdogan personally designs and determines the location of the hairline

 

 

 

 

 

 

He balances the patient’s expectations with considerations such as donor availability, potential for future hair loss and the suitability of a particular style bearing in mind the patient’s facial features.

 

 

 

 

 

 

All hair transplantation procedures are performed in surgical operating rooms that are equipped with HEPA air filters (High Efficiency Particulate Air) that provide optimum protection against infection and contamination from airborne microorganisms while conditioning the air and with automatic heat and humidity balancing systems. As a result, surgical room air is replaced by hepa-filtered fresh outside air every minute that is tested for particle density. (Turkish Health Ministry regulations stipulate that hair transplantation may only be performed in surgical operation rooms equipped with hepa filters. Consequently, hair transplantation surgeries cannot be performed in normal hospital operating rooms.)

 

 

 

 

 

 

During the extraction portion of the surgery, two of the assistants continually check graft quality and separate single, double and multiple grafts by a special loop system. An additional assistant keeps graft statistics through a patented ASMED software program. These statisticsallow the surgical team to 1) stabilize hair/graft averages according to the previously targeted averages and 2) issue timely reports to the team that allow for any necessary adjustment.

 

 

 

 

 

 

During surgery, all grafts are kept in a hypothermosol + liposomal ATP solution and placed over an electric chilling device at 4 degrees Celsius.

 

 

 

 

 

 

Dr. Koray Erdoğan performs all incisions using a lateral slit technique in combination with custom-sized blades that are prepared according to the length of the hair and the distribution of grafts.

 

 

 

 

 

 

All patients are monitored and controlled by an anesthesiologist from the beginning to the end of the surgery.

 

 

 

 

 

Post-operative care on the first day following surgery consists of the careful washing of the recipient and donor areas. Prior to departure from the surgical center, all surgical statistics are presented to the patient including a file of all photos and a DVD.

 

 

 

ASMED is not just a team of colleagues, but a surgical family dedicated to providing its patients with state of the art surgery.

 

 

 

 

 

 

Pictures from Workshops:

 

 

 

 

 

 

 

 

 

 

 

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****The High Efficiency Particulate Air (HEPA) filter provides the best protection from infection and contamination from airborne microorganisms. HEPA filtration in operating rooms of a healthcare facility provides the highest quality of air cleanliness, helping safeguard the life and health of the patients and the healthcare workers. HEPA Filtration is used in applications where the cleanest of air is required. HEPA is an acronym for High Efficiency Particulate Air.

Edited February 6, 2015 by ASMEDMANUALFUE

[GraveD11gger]

Nice advertorial, but too much staff to do one operation per day.

 

Who is my best friend BUSA here?

[Swooping]

Way too much gimmick and no innovation in my opinion.

Edited February 5, 2015 by Swooping

[GraveD11gger]

And, there is really zero risk for infection in any hair transplant operations, because head skin gets so abundant blood supply, just simple sterilization of the equipments are enough to prevent and the tips of extraction punches the blades are already disposable (use and discard)

 

All clinics do wrong but this clinic does right???

 

Privilage to advertising here, and with always wet before, dry after pictures. And with 5K grafts in patients who really need max 2K grafts. I am so bored seeing this stuff.

[BUSA]

lol u guys are funny. let the haters hate smh. THAT is wat a professional state of the art clinic looks like and operates. its too bad other clinics aren't as transparent....

 

and in case any of the know-it-alls didn't know Erdogan shares ideas with Lorenzo in terms of technique and both are close friends and colleagues.

 

and as you can see the DOCTOR actually perform the incisions....

 

and we certainly wudn't want too much innovation like the clown above stated. that wud just be horrible.... lol

[BUSA]

THAT made me LOL.... Literally:rolleyes:

 

And, there is really zero risk for infection in any hair transplant operations, because head skin gets so abundant blood supply, just simple sterilization of the equipments are enough to prevent and the tips of extraction punches the blades are already disposable (use and discard)

 

All clinics do wrong but this clinic does right???

 

Privilage to advertising here, and with always wet before, dry after pictures. And with 5K grafts in patients who really need max 2K grafts. I am so bored seeing this stuff.

[1966kph]

Very good thorough presentation by one of the top clinics on the planet

Whilst like I say its good it is lacking in some information that I as well as others I'm sue would appreciate knowing

As this has obviously taken a fair bit of time to prepare could you please tell us who exactly does what as one hears so much on the forum so this is a opportunity to hear it from the horses mouth so to speak.

Does Dr Erdoğan do all incisions on all patients ?

Who do the extractions of grafts ? Technicians or dr Erdoğan or both ?

What roles do the other surgeons perform within the clinic?

Do they do any incisions or extractions ?

What is the highest number of patients seen in any given day?

What was said to have the staff in fits of laughter ?

Are a few of the staff hard of hearing as they aren't even cracking a smile ?

 

Regardless of the answers to the above questions it is a very successful setup that all bodes well toward the patients getting the best results possible.

Have a good day

Edited February 7, 2015 by 1966kph

[Bill - Seemiller]

Graved11ger and Swooping,

 

Dr. Erdogan should be commended for putting together and sharing such a thorough and transparent presentation. While you are welcome to share constructive criticisms, your comments are just disparaging without any reason.

 

Please be respectful when you post your comments on this forum. And if you are going to post criticism, be constructive and explain why you have a concern with a particular post/topic.

 

Thanks,

 

Bill

[johnny2000]

Very good thorough presentation by one of the top clinics on the planet

Whilst like I say its good it is lacking in some information that I as well as others I'm sue would appreciate knowing

As this has obviously taken a fair bit of time to prepare could you please tell us who exactly does what as one hears so much on the forum so this is a opportunity to hear it from the horses mouth so to speak.

Does Dr Erdoğan do all incisions on all patients ?

Who do the extractions of grafts ? Technicians or dr Erdoğan or both ?

What roles do the other surgeons perform within the clinic?

Do they do any incisions or extractions ?

What was said to have the staff in fits of laughter ?

Are a few of the staff hard of hearing as they aren't even cracking a smile ?

 

Regardless of the answers to the above questions it is a very successful setup that all bodes well toward the patients getting the best results possible.

Have a good day

 

Dont expect the clinic to answer you.

I have asked multiple times why they almost allways show wet before and dry after pictures, and never recieved Any reply. It must be because the dont want to explain it.

[1966kph]

You may well be right johnny.

I seem to find that several drs all to often avoid answering direct questions when it is not in their best interest.

If a dr is not prepared to answer all relevant questions it is a huge put off for me.Why would they not answer the questions? What possible plausible excuse that one would believe could they have for not answering the questions?

You should make your own mind up but for me the over whelming assumption would be they are avoiding telling me the truth.

Just like your question johnny why are they not answering it ?

If they posted wet before wet after and dry before and dry after our opinion may be altered adversely which is in our best interest but not theirs.At the end of the day its a business and big business at that just look at the number of staff dr Erdoğan has plus many other over heads so he needs to be getting a lot of patients through the door into the chair and people wonder why the amount of attention you actually get from dr Erdoğan has changed over the years with techs becoming highly involved in the procedure.

Oh yeah techs are not by law meant to be doing the extractions according to dr Karadeniz as he has said many times in regard to maral clinic but never has he said it about drs Erdoğan and dr Donagay why would he do that? Again make your own mind up.

But all that said I have and still think that at asmed the chances are you are going to get a outstanding result even though dr Erdoğan is not as involved as he used to be.

I have always been impressed with his work since first coming across him going on 10 years ago.

All we can do is keep asking questions and learning which we do both from answers or even the lack of a answer should tell you something.

Have a nice day

 

 

Dont expect the clinic to answer you.

I have asked multiple times why they almost allways show wet before and dry after pictures, and never recieved Any reply. It must be because the dont want to explain it.

[GraveD11gger]

If the area to be transplanted contain many original hairs, wet before pictures show the real condition worse that the reality. (they also take preop shots with shorter, scattered hair to exaggerate more)

 

Postop pictures with longer, combed and dry hairs inflate the result much more than the operation can solely done.

 

Here is some reminder in relevant threads for that issue; I believe Erdogan thinks everybody has the same IQ level and memory as this BUSA.

 

http://www.hairrestorationnetwork.com/eve/175358-dr-koray-erdogan-4000-grafts-fue-2.html

 

POSTED by LOAGS: This photo example is poor.. Lacking standardization. Clinic presentations really need to be a lot better than this, its borderline deceptive.The initial photos are over exposured and under contrasted.

Final photos are under exposed and over contrasted and light and white balance is way way different.

 

POSTED by Dr. ERDOGAN: we will be doing our best efforts to propose an even clearer documentation.

We built a very strong reputation for our clinic worldwide by working in a clear and honest way, so we feel sorry if we gave a negative feeling in this occasion.

 

[BUSA]

yep just continue to Bash a great surgeon cause ur a HATER. ur only digging ur own grave...

 

this is a Dr. that has presented more successful cases then just about any HT doctor on this forum so again.... ur making a FOOL out of urself as usual....:roll eyes:

 

like I said keep saving ur pennies and maybe u too can afford him.

 

If the area to be transplanted contain many original hairs, wet before pictures show the real condition worse that the reality. (they also take preop shots with shorter, scattered hair to exaggerate more)

 

Postop pictures with longer, combed and dry hairs inflate the result much more than the operation can solely done.

 

Here is some reminder in relevant threads for that issue; I believe Erdogan thinks everybody has the same IQ level and memory as this BUSA.

 

http://www.hairrestorationnetwork.com/eve/175358-dr-koray-erdogan-4000-grafts-fue-2.html

[GraveD11gger]

Graved11ger and Swooping,

if you are going to post criticism, be constructive and explain why you have a concern with a particular post/topic.

 

Thanks,

 

Bill

 

OK Bill, I will provide constructive/informative criticism for the actual hair loss sufferers.

 

But first, I want to make something very clear. You, moderators, and all others approve doctors who are doing only incisions as a minimum general principle for approval criteria. Graft removal and implantation can be done by technicians according to your criteria, right?

 

Do you think doctors doing only incisions and leaving graft removal and implantation to technicians is enough to advertise on this forum and be respected in the community?

[GraveD11gger]

OK Bill, I will provide constructive/informative criticism for the actual hair loss sufferers.

 

But first, I want to make something very clear. You, moderators, and all others approve doctors who are doing only incisions as a minimum general principle for approval criteria. Graft removal and implantation can be done by technicians according to your criteria, right?

 

Do you think doctors doing only incisions and leaving graft removal and implantation to technicians is enough to advertise on this forum and be respected in the community?

 

Bill,

 

I am waiting your answer (sorry my discussion with BUSA, he is so provoking to me, but you shud accept this is men club, we can discuss harshly sometimes, no need to think that this is insulting unless anyone complain that hes has been insulted. Me and BUSA were never complain about that.

[Bill - Seemiller]

Graved11ger,

 

In my opinion, whose actual hands are on the tools is less important than the actual result. While some physicians may play more of a supervisory role, others are very hands-on. We do expect however, that physicians we recommend are in some way actively engaged in the procedure. We do not expect the physician to be sitting behind a desk or be somewhere outside of the clinic while the procedure is being conducted solely by the technicians. Physicians who don't play at least some kind of active role may be using the hair transplant profession as a side business to bring in extra revenue. We do not condone this kind of activity.

 

Ultimately, hair transplantation is a team effort. So we respect that something sessions may step back and allow their team to perform certain functions. However, as long as the physician is actively overseeing the procedure and providing engaged quality assurance that results are optimal, then whose hand is on the tool is less important than the result.

 

I hope this helps.

 

Bill

[GraveD11gger]

You can be sure that I am very competent about legality issues.

 

 

POSTED by ASMED; Turkish Health Ministry regulations stipulate that hair transplantation may only be performed

 

Turkish Health Ministry regulations stipulate that hair transplantation may only be performed by aestetic plastic surgeons and dermatologic surgeons in Turkey. (Tech involvement is very different issue on operations)

 

Physicians/doctors are only medical practitioners. They have no licence to do any operations on patients (just suturing skin wounds is allowed in emergency conditions)

 

Practitioners has the same legality as technicians in the eyes of Health Authorities.

 

And, the laws and rıules also includes for the other brances, that said, even other physicians from another medical/surgical branches is not allowed to do HT operations.

 

Practitioners can only be work legally in goverment hospitals, small clinics for the general health of the people.

 

If this physician practitioners do HT operations and open a clinic for that, this means that be they are illegally doing hair transplant operations as a side business to bring in extra revenue.

 

In fact they are intruders of HT operations which is legal and scientific operations of Plastic and Dermatologic Surgeons. They just opens a new business just for profit, not to treat patients.

 

Bill,

 

What is your opinion now?. Is that legal for your forum to accept this illegal business and recommend them to the patients?

 

We will continue with the other aspects of the issue....advertising part and patient's rights agains this illegal business. Johnny 2000 please follow carefully, it will help you much.

[GraveD11gger]

Bill, your opinion please?

 

If a plastic surgeon does both rinoplasty and cosmetic breast surgery operations, should one of them be considered as a side business to bring in extra revenue to him?

 

What about if he adds face lifting operations in his business?

 

What about if he adds body shaping operations in his business?

 

What about if he adds HT operations in his business?

 

 

What about if practitioner physicians (who can only work in the primary health care system) adds HT operations (illegally by laws) in their business?

 

Which one must be considered as a side business to bring in extra revenue. -in your term.

[Blake Bloxham]

D11gger,

 

Allow me to answer some of your questions:

 

1. Bill's statement isn't meant to be a "hard and fast" definition on what it takes to be a recommended physician. Frankly, I'm of the belief that the doctor should be involved in removal and site creation, but Bill's statement allows for a more fair and gracious definition based upon the end result. However, trying to define what it "takes" to be recommended based upon a doctor making incisions and doing extractions versus just doing incisions misses the point. The point Bill is trying to make is the following: we are open to considering physician's who take a less "hands on" approach; however, they must be involved with the procedure. We don't feel comfortable recommending a clinic to a patient if we know the physician will be at a desk or in another facility performing different surgeries while an unknown non-physician is operating on the patient.

 

2. Frankly, the medical regulations in Turkey simply don't translate to the way medicine functions in many other regions. I find it odd that the Turkish regulatory bodies would consider a physician who graduated medical school and completed post-graduate training equivalent to a technician when it comes to cosmetic procedures. Furthermore, I really don't see how a plastic surgeon opening a clinic where technicians operate with no oversight is any more safe than a "non plastic surgeon" opening the same clinic. What good does the doctor's plastic surgery training do if he/she plays no role in the surgery?

 

3. Keep in mind that we are a hair transplant community. Thus, when physicians perform other procedures outside of hair transplantation in their practices, these fall more into the "side business" - as you put it - category.

 

Maybe another analogy would better explain my point: you ask when face lifts, body shaping, and cosmetic breast surgery would be considered "side business" procedures. If a surgeon wanted to be a part of a community that reviewed and recommended doctors specializing in rhytidectomies (face lifts), members would consider his/her breast work and body shaping as secondary procedures. This becomes especially true when other surgeons on the network ONLY focus on face lifts. This is akin to what we have here; many of our surgeons specialize only in hair restoration, and an accurate comparison would be these surgeons versus a cosmetic surgeon who does noses, face lifts, breasts, and hair transplantation. This point becomes even more apparent when the surgeon added on hair transplantation to an already established practice.

 

However, I'm noticing too many threads being "hijacked" and turned into the same discussion lately. We need to say on topic in these threads. From here on out, let's limit discussion in this thread to Dr. Erdogan's presentation - which I thought was quite good. Hopefully you find my above answers sufficient. If not, please send me a private message or create another thread so we can discuss these issues in a more appropriate setting. Thanks.

[1966kph]

Who is the we in the below quote?

And to which dr are you referring to?

And how do you come this conclusion of were he is during the op?

 

Quote by blake)We don't feel comfortable recommending a clinic to a patient if we know the physician will be at a desk or in another facility performing different surgeries while an unknown non-physician is operating on the patient.) end quote

 

And yes I agree this is not the place to discuss this

So back on topic.

You say you like the presentatation and yes it is good so why is it they can do a presentation like this but asmed is incapable of presenting photos showing dry hair in pre op photos.

They have been asked to do this god knows how many times.

Please act on behalf of the community blake and ask them to present photos with the hair dry in pre op photographs.

Please will you do this for us blake?

[KO]

Who is the we in the below quote?

And to which dr are you referring to?

And how do you come this conclusion of were he is during the op?

 

Quote by blake)We don't feel comfortable recommending a clinic to a patient if we know the physician will be at a desk or in another facility performing different surgeries while an unknown non-physician is operating on the patient.) end quote

 

And yes I agree this is not the place to discuss this

So back on topic.

 

What do you mean this is not the place to discuss this? This is the elephant in the room, and you want the moderators to gloss over it? You want to discuss Maral everywhere, on unrelated threads, but now you change the topic? Odd

 

Btw, what is Maral doing when HT surgeries are going on?

[1966kph]

You are right ko I have taken threads off topic so I try to avoid doing it I'm guilty as charged.

Do you not think that me asking asmed to post dry pre op photos is important or do you want to carry on a argument that is going on else where?

I am not trying to get anyone to gloss over anything so if you so wish fire away.

But dont accuse of not trying to stop on topic.

Have a good day

 

What do you mean this is not the place to discuss this? This is the elephant in the room, and you want the moderators to gloss over it? You want to discuss Maral everywhere, on unrelated threads, but now you change the topic? Odd

 

Btw, what is Maral doing when HT surgeries are going on?

[GraveD11gger]

Turkish Health Ministry regulations stipulate that hair transplantation may only be performed by aestetic plastic surgeons and dermatologic surgeons in Turkey.

 

Turkish Competition Authority, branch of Ministary of Custom and Trade also stipulate that advertising is strickly forbidden for legal clinics.

 

The silence from ASMED is deafening, and damning. (referred by PUPDady)

 

I recommend to make this thread out of public. (big penalty required)

[johntra]

Moderators, please remove this mercenary (and all his aliases) from the forum. He has brought nothing but hate (exactly 193 times), since he joined (only 3 months). He is trying to discredit a Doctor who has brought nothing but good to this Forum and its Members. I'm talking about GraveWhatEverDigger of course.

BR

[Spanker]

Moderators, please remove this mercenary (and all his aliases) from the forum. He has brought nothing but hate (exactly 193 times), since he joined (only 3 months). He is trying to discredit a Doctor who has brought nothing but good to this Forum and its Members. I'm talking about GraveWhatEverDigger of course.

BR

I agree. Enough is enough.