Cirugía estética y cosmetología
Todos los tratamientos
Cirugía estética y cosmetología
Todos los tratamientos

Los mejores especialistas en estética y cosmetología — TOP-883 médicos

El contenido cumple con la Política editorial de Bookimed y está revisado médicamente por
Fahad Mawlood - Médico general. Ganador de 4 premios científicos. Sirvió en Asia Occidental. Es el ex jefe del equipo médico que soporta a pacientes de habla árabe. Ahora es responsable del procesamiento de datos y la precisión del contenido médico.
Dr Lalitha Nair
Médico general
19 años de experiencia

Dr Lalitha Nair

Médico general
19 años de experiencia
Malasia, Kuala Lumpur
Merkel Clinic
Dr Inishasri Periasammy
Médico general
4 años de experiencia
Malasia, Kuala Lumpur
Merkel Clinic

Dr Inishasri Periasammy

Médico general
4 años de experiencia
La Dra. Inishasri Periasammy se especializa en operaciones que incluyen inyecciones de Botox, terapia de rejuvenecimiento con células madre, tratamiento PRP para la caída del cabello, peeling químico, tratamiento de cicatrices de acné, inyección de rellenos y moldeado de mandíbula. Es licenciada por la Universidad MAHSA.Mostrar más
La Dra. Inishasri Periasammy se especializa en operaciones que incluyen inyecciones de Botox, terapia de rejuvenecimiento con células madre, tratamiento PRP para la caída del cabello, peeling químico, tratamiento de cicatrices de acné, inyección de rellenos y moldeado de mandíbula. Es licenciada por la Universidad MAHSA.
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Şerif Yavuz
Cirujano plástico
17 años de experiencia
Turquía, Estambul
Op. Dr. Serif Yavuz's Private Practice

Şerif Yavuz

Cirujano plástico
17 años de experiencia
Op. El Dr. Serif Yavuz es un cirujano estético y reconstructivo con mucha experiencia, que se especializa en rinoplastia, cirugías de senos, liposucción, abdominoplastia, cirugías posbariátricas y más. Se ha formado en microcirugía e investigación con células madre, y es miembro de la prestigiosa Sociedad Americana de Cirugía Plástica Estética. Ha realizado con éxito cientos de cirugías en pacientes locales e internacionales y se ha ganado la reputación de brindar una atención excepcional al paciente y excelentes resultados.Mostrar más
Op. El Dr. Serif Yavuz es un cirujano estético y reconstructivo con mucha experiencia, que se especializa en rinoplastia, cirugías de senos, liposucción, abdominoplastia, cirugías posbariátricas y más. Se ha formado en microcirugía e investigación con células madre, y es miembro de la prestigiosa Sociedad Americana de Cirugía Plástica Estética. Ha realizado con éxito cientos de cirugías en pacientes locales e internacionales y se ha ganado la reputación de brindar una atención excepcional al paciente y excelentes resultados.
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Fotos de antes y después de
Cita con el médico precio a consultar
Trasplante de bigote $1249.54 - $2290.83
Levantamiento de cejas $1874.32 - $2707.35
Liposucción de pantorrillas $2082.57 - $3644.5
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Ismail Barutt
Cirujano plástico
16 años de experiencia
Turquía, Estambul
Shine clinic

Ismail Barutt

Cirujano plástico
16 años de experiencia

 International Educational Courses and Certificate:

10 – 12 May 2012, V. Rhinoplasty Course, Ankara (Turkey)

31 October – 4 November 2012, TPRECD 34th National Congress, Antalya (Turkey)

10 – 20 December 2012, XII. Experimental Animal Practice and Ethics Course, Ankara (Turkey)

27 – 28 September 2013, Prof. Dr. Rıdvan EGE Basic Hand Surgery Course 8, Ankara (Turkey)

Education Bachelor's Degree:

2008, Faculty of Medicine, Ege University, Izmir (Turkey)

 

Specialization Education:

2009, Department of General Surgery, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul (Turkey)

2016, Department of Aesthetic/Plastic/Reconstructive Surgery, Faculty of Medicine, Gazi University, Ankara (Turkey)

Professional Experience 23 September 2008 – 15 January 2009, Family Physician, Akkuş Kızılelma Health Center, Ordu (Turkey)

19 January 2009 – 20 March 2009, Research Assistant, Department of General Surgery, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul (Turkey)

12 November 2009 – 28 May 2016, Research Assistant, Department of Aesthetic/Plastic/Reconstructive Surgery, Faculty of Medicine, Gazi University, Ankara (Turkey)

13 June 2016 – 30 September 2017, Cosmetic Surgeon, Saglik Bakanligi University Van Education and Research Hospital, Van (Turkey)

1 August 2018 – 29 March 2019, Cosmetic Surgeon, Burdur State Hospital, Burdur (Turkey)

11 April 2019, 15 June 2020, Cosmetic Surgeon, Saglik Bakanligi University Van Education and Research Hospital, Van (Turkey)

18 June 2020 – 13 September 2021, Minor Assistant, Istanbul Hamidiye Etfal Education and Research Hospital, Istanbul (Turkey

 

 
 

 

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 International Educational Courses and Certificate:

10 – 12 May 2012, V. Rhinoplasty Course, Ankara (Turkey)

31 October – 4 November 2012, TPRECD 34th National Congress, Antalya (Turkey)

10 – 20 December 2012, XII. Experimental Animal Practice and Ethics Course, Ankara (Turkey)

27 – 28 September 2013, Prof. Dr. Rıdvan EGE Basic Hand Surgery Course 8, Ankara (Turkey)

Education Bachelor's Degree:

2008, Faculty of Medicine, Ege University, Izmir (Turkey)

 

Specialization Education:

2009, Department of General Surgery, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul (Turkey)

2016, Department of Aesthetic/Plastic/Reconstructive Surgery, Faculty of Medicine, Gazi University, Ankara (Turkey)

Professional Experience 23 September 2008 – 15 January 2009, Family Physician, Akkuş Kızılelma Health Center, Ordu (Turkey)

19 January 2009 – 20 March 2009, Research Assistant, Department of General Surgery, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul (Turkey)

12 November 2009 – 28 May 2016, Research Assistant, Department of Aesthetic/Plastic/Reconstructive Surgery, Faculty of Medicine, Gazi University, Ankara (Turkey)

13 June 2016 – 30 September 2017, Cosmetic Surgeon, Saglik Bakanligi University Van Education and Research Hospital, Van (Turkey)

1 August 2018 – 29 March 2019, Cosmetic Surgeon, Burdur State Hospital, Burdur (Turkey)

11 April 2019, 15 June 2020, Cosmetic Surgeon, Saglik Bakanligi University Van Education and Research Hospital, Van (Turkey)

18 June 2020 – 13 September 2021, Minor Assistant, Istanbul Hamidiye Etfal Education and Research Hospital, Istanbul (Turkey

 

 
 

 

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Can U
Cirujano plástico
12 años de experiencia
Turquía, Estambul
Florya Aesthetic Clinic

Can U

Cirujano plástico
12 años de experiencia

Born in Ankara, Doctor Can Bey completed his primary and secondary education at Ted College and then received his high school education at Robert College in Istanbul. In addition to his English education at Robert College, he improved himself by taking painting, sculpture and photography lessons. After a rich high school life of 5 years, he studied at Istanbul Medical Faculty, Capa Medicine, and received the title of medical doctor. By making a degree in the specialty examination in medicine, he was entitled to receive specialization training in the Department of Plastic, Reconstructive and Aesthetic Surgery at Istanbul Health Sciences University. Starting from his medical school years, he went to many countries and did an internship and increased his professional knowledge. These countries are Egypt (Cairo), Spain (Madrid), the Netherlands (Gröningen), Portugal (Lisbon), Austria (Stolzalpe) and the United States (Los Angeles, Chicago).

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Born in Ankara, Doctor Can Bey completed his primary and secondary education at Ted College and then received his high school education at Robert College in Istanbul. In addition to his English education at Robert College, he improved himself by taking painting, sculpture and photography lessons. After a rich high school life of 5 years, he studied at Istanbul Medical Faculty, Capa Medicine, and received the title of medical doctor. By making a degree in the specialty examination in medicine, he was entitled to receive specialization training in the Department of Plastic, Reconstructive and Aesthetic Surgery at Istanbul Health Sciences University. Starting from his medical school years, he went to many countries and did an internship and increased his professional knowledge. These countries are Egypt (Cairo), Spain (Madrid), the Netherlands (Gröningen), Portugal (Lisbon), Austria (Stolzalpe) and the United States (Los Angeles, Chicago).

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Mustafa Nisanci
Cirujano plástico
34 años de experiencia
5.0
2 reseñas
Turquía, Antalya
Alara Health Group

Mustafa Nisanci

Cirujano plástico
34 años de experiencia

El Dr. Mustafa Nisanci es cirujano plástico, reconstructivo y estético con 28 años de experiencia en el campo de la medicina. Se especializa en cirugía reconstructiva, que incluye microcirugía y cirugía de colgajo, cirugía de guerra, cirugía de manos, reconstrucciones de extremidades inferiores, reconstrucción mamaria, cirugía plástica pediátrica, cirugía de cabeza y cuello, cirugía oral y maxilofacial, cirugía ortognática y cuidado de quemaduras y cirugía de quemaduras.

También tiene experiencia en cirugía estética, que incluye estiramiento facial, estiramiento de cuello, estiramiento de la parte media de la cara, rejuvenecimiento periorbitario y de la frente, rinoplastia, aumento de senos, reducción de senos, liposucción, inyección de grasa, abdominoplastia de contorno corporal, aumento de pantorrillas, levantamiento de glúteos, restauración del cabello y cirugía de trasplante, inyecciones de botox, rellenos y aplicaciones de láser.

Tiene 37 publicaciones internacionales y 24 nacionales. El Dr. Mustafa Nisanci trabaja en GMMA y la Escuela de Medicina, el Centro Médico Talya, el Centro de Cirugía Estética ECM, la Clínica de Kentucky, la Academia Médica Militar Gülhane y la 5.ª Base Aérea de la Fuerza Aérea Turca.

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El Dr. Mustafa Nisanci es cirujano plástico, reconstructivo y estético con 28 años de experiencia en el campo de la medicina. Se especializa en cirugía reconstructiva, que incluye microcirugía y cirugía de colgajo, cirugía de guerra, cirugía de manos, reconstrucciones de extremidades inferiores, reconstrucción mamaria, cirugía plástica pediátrica, cirugía de cabeza y cuello, cirugía oral y maxilofacial, cirugía ortognática y cuidado de quemaduras y cirugía de quemaduras.

También tiene experiencia en cirugía estética, que incluye estiramiento facial, estiramiento de cuello, estiramiento de la parte media de la cara, rejuvenecimiento periorbitario y de la frente, rinoplastia, aumento de senos, reducción de senos, liposucción, inyección de grasa, abdominoplastia de contorno corporal, aumento de pantorrillas, levantamiento de glúteos, restauración del cabello y cirugía de trasplante, inyecciones de botox, rellenos y aplicaciones de láser.

Tiene 37 publicaciones internacionales y 24 nacionales. El Dr. Mustafa Nisanci trabaja en GMMA y la Escuela de Medicina, el Centro Médico Talya, el Centro de Cirugía Estética ECM, la Clínica de Kentucky, la Academia Médica Militar Gülhane y la 5.ª Base Aérea de la Fuerza Aérea Turca.

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Kim Jae Hwa
Dermatólogo
10 años de experiencia
Corea del Sur, Seúl
Oracle Clinic Cheongdam

Kim Jae Hwa

Dermatólogo
10 años de experiencia

Dermatologist

Regular member of the Korean Dermatological Association

Regular member of the Korean Dermatological Association

Regular member of the Korean Society of Dermatology Laser

Regular member of the Korean Society of Vitiligo Pigmentation

Regular member of the Korean Clinical Dermatology Research Association

Adjunct professor of dermatology at Eulji University

Current) Director of Oracle Dermatology Cheongdam Branch

 

 

 

 

 

 

 

 

 

 

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Dermatologist

Regular member of the Korean Dermatological Association

Regular member of the Korean Dermatological Association

Regular member of the Korean Society of Dermatology Laser

Regular member of the Korean Society of Vitiligo Pigmentation

Regular member of the Korean Clinical Dermatology Research Association

Adjunct professor of dermatology at Eulji University

Current) Director of Oracle Dermatology Cheongdam Branch

 

 

 

 

 

 

 

 

 

 

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Serkan Sabanci
Cirujano plástico
16 años de experiencia
Turquía, Estambul
ONEP PLASTIC SURGERY AND STEMCELLS CLINIC

Serkan Sabanci

Cirujano plástico
16 años de experiencia

Hi, I am Serkan Sabancı. I was born in Adana and graduated from Adana Baraj High School in 1997. In the same year, I entered Çukurova Medical Faculty and started my university education. During my medical education, due to my interest in surgical branches, I spent most of my time outside of classes in the operating room of the faculty. After my medical education, I did my compulsory service in the emergency department. Although I loved saving the lives of hundreds of patients in the emergency unit and the emergency intervention and dynamism of this unit, after completing my compulsory service due to my interest in plastic surgery, I took the specialty exam and was accepted to the Department of Plastic Reconstructive and Aesthetic Surgery at Çukurova University Faculty of Medicine.
In the first years of my specialist training, I attended many courses and events due to my interest in hair transplantation. In the second year of my assistantship as Serkan Sabancı, I developed my own hair transplantation technique with the vibrating Micromotor I produced and performed eyebrow and beard transplants on many patients with burnt faces, and I had the opportunity to share this technique with many of my colleagues in live surgery courses organized by the Plastic Surgery Association. During my specialty training, Çukurova University Faculty of Medicine was a regional hospital and I performed both reconstruction and aesthetic surgery operations intensively.

As Serkan Sabancı, after my specialty training, I did my compulsory service at Bilecik State Hospital, where I focused on plastic surgeries during my 2-year service period. After completing my compulsory service, I started working as a private physician in Istanbul. I am currently accepting patients in my private practice in Üsküdar, Istanbul.

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Hi, I am Serkan Sabancı. I was born in Adana and graduated from Adana Baraj High School in 1997. In the same year, I entered Çukurova Medical Faculty and started my university education. During my medical education, due to my interest in surgical branches, I spent most of my time outside of classes in the operating room of the faculty. After my medical education, I did my compulsory service in the emergency department. Although I loved saving the lives of hundreds of patients in the emergency unit and the emergency intervention and dynamism of this unit, after completing my compulsory service due to my interest in plastic surgery, I took the specialty exam and was accepted to the Department of Plastic Reconstructive and Aesthetic Surgery at Çukurova University Faculty of Medicine.
In the first years of my specialist training, I attended many courses and events due to my interest in hair transplantation. In the second year of my assistantship as Serkan Sabancı, I developed my own hair transplantation technique with the vibrating Micromotor I produced and performed eyebrow and beard transplants on many patients with burnt faces, and I had the opportunity to share this technique with many of my colleagues in live surgery courses organized by the Plastic Surgery Association. During my specialty training, Çukurova University Faculty of Medicine was a regional hospital and I performed both reconstruction and aesthetic surgery operations intensively.

As Serkan Sabancı, after my specialty training, I did my compulsory service at Bilecik State Hospital, where I focused on plastic surgeries during my 2-year service period. After completing my compulsory service, I started working as a private physician in Istanbul. I am currently accepting patients in my private practice in Üsküdar, Istanbul.

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Amit Agarkar
Especialista en trasplante capilar
15 años de experiencia
India, Mumbai
Vplant Speciality Clinics

Amit Agarkar

Especialista en trasplante capilar
15 años de experiencia

Education:

  • Doctor of Medicine (M.D) in Dermatology 
  •  
  • Fellowship of College of Physicians and Surgeons (F.C.P.S) in Dermatology 
  •  
  • Diploma in Dermatology and Venereology (D.D.V) 
  •  
  • Bachelor of Medicine, Bachelor of Surgery (M.B.B.S) 
  •  

Professional Experience:

Hair Transplant Surgeon & Trichologist  (Medical director & promotor)

Vplant Advanced Hair Clinic, Mumbai

Perform advanced hair transplant surgeries using both MHI and FUE techniques to restore natural hairlines and density.

Conduct comprehensive hair loss evaluations and develop personalized treatment plans for patients.

Provide holistic trichology care, including medical management of hair disorders, scalp treatments, and nutritional counselling.

Utilize state-of-the-art technology and innovative techniques to achieve optimal results in hair restoration.

Educate patients on hair care practices, maintenance therapies, and lifestyle modifications to promote healthy hair growth.

Consultant Dermatologist  in Bandra Bhabha hospital 2011

Senior Hair Transplant surgeon for 3 years in DHI HAIR TRANSPLANT CENTER FROM   2011 TO 2014

Assistant professor in Chennai medical college 2014

Certifications:

  • Hair Transplant Surgery Certification
  • Trichology Certification
  • Dermatology Board Certification

Skills:

Expertise in hair transplant surgery techniques (MHI and FUE)

Proficient in diagnosing and treating hair and scalp disorders

Comprehensive understanding of trichology principles and practices

Strong surgical skills and attention to detail

Excellent communication and patient counselling abilities

Commitment to evidence-based practice and continuous professional development

Professional Memberships:

International Society of Hair Restoration Surgery (ISHRS)

World Trichology Society (WTS)

Indian Association of Dermatologists, Venereologists, and Leprologists (IADVL)

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Education:

  • Doctor of Medicine (M.D) in Dermatology 
  •  
  • Fellowship of College of Physicians and Surgeons (F.C.P.S) in Dermatology 
  •  
  • Diploma in Dermatology and Venereology (D.D.V) 
  •  
  • Bachelor of Medicine, Bachelor of Surgery (M.B.B.S) 
  •  

Professional Experience:

Hair Transplant Surgeon & Trichologist  (Medical director & promotor)

Vplant Advanced Hair Clinic, Mumbai

Perform advanced hair transplant surgeries using both MHI and FUE techniques to restore natural hairlines and density.

Conduct comprehensive hair loss evaluations and develop personalized treatment plans for patients.

Provide holistic trichology care, including medical management of hair disorders, scalp treatments, and nutritional counselling.

Utilize state-of-the-art technology and innovative techniques to achieve optimal results in hair restoration.

Educate patients on hair care practices, maintenance therapies, and lifestyle modifications to promote healthy hair growth.

Consultant Dermatologist  in Bandra Bhabha hospital 2011

Senior Hair Transplant surgeon for 3 years in DHI HAIR TRANSPLANT CENTER FROM   2011 TO 2014

Assistant professor in Chennai medical college 2014

Certifications:

  • Hair Transplant Surgery Certification
  • Trichology Certification
  • Dermatology Board Certification

Skills:

Expertise in hair transplant surgery techniques (MHI and FUE)

Proficient in diagnosing and treating hair and scalp disorders

Comprehensive understanding of trichology principles and practices

Strong surgical skills and attention to detail

Excellent communication and patient counselling abilities

Commitment to evidence-based practice and continuous professional development

Professional Memberships:

International Society of Hair Restoration Surgery (ISHRS)

World Trichology Society (WTS)

Indian Association of Dermatologists, Venereologists, and Leprologists (IADVL)

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Jedjunya Siripakkaphant
Dermatólogo
26 años de experiencia
Tailandia, Chiang Mai
Clínica Sarinya

Jedjunya Siripakkaphant

Dermatólogo
26 años de experiencia
Education
1990- 1996Faculty of Medicine, Chiangmai University
2000 –2001Fellowship Program in Dermatology, The Suphannahong Dermatology Institute.
2003Board of family Medicine, Chiangmai University
2010Certificate of Training Thermage Procedure
 Certificate Training, Medlite C6 Laser, Hoya ConBio
2011Certificate training, Thread Rejuvenation Training Program, Korea.
 Certificate Training Breast Augmentation, Aqualift, Singapore.
 Certificate of Swiss Recognition, Laboratoires DOM AVMM. Suisse Swizerland.
2015-2016certificate of Attendance, Allergan Academy Education Program regarding facial Aesthetics
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Education
1990- 1996Faculty of Medicine, Chiangmai University
2000 –2001Fellowship Program in Dermatology, The Suphannahong Dermatology Institute.
2003Board of family Medicine, Chiangmai University
2010Certificate of Training Thermage Procedure
 Certificate Training, Medlite C6 Laser, Hoya ConBio
2011Certificate training, Thread Rejuvenation Training Program, Korea.
 Certificate Training Breast Augmentation, Aqualift, Singapore.
 Certificate of Swiss Recognition, Laboratoires DOM AVMM. Suisse Swizerland.
2015-2016certificate of Attendance, Allergan Academy Education Program regarding facial Aesthetics
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Okan Parmaksiz
Otorrinolaringológo
12 años de experiencia
Turquía, Estambul
Okan Parmaksız's Clinic

Okan Parmaksiz

Otorrinolaringológo
12 años de experiencia
El Dr. Okan Parmaksiz es un otorrinolaringólogo y cirujano ORL especializado con experiencia en varios hospitales y en su clínica privada. Domina procedimientos como la rinoplastia, la septoplastia, la otoplastia y el uso de Botox y otras toxinas inyectables.Mostrar más
El Dr. Okan Parmaksiz es un otorrinolaringólogo y cirujano ORL especializado con experiencia en varios hospitales y en su clínica privada. Domina procedimientos como la rinoplastia, la septoplastia, la otoplastia y el uso de Botox y otras toxinas inyectables.
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Aykut Recep Aktas
Neurorradiólogo
24 años de experiencia
Turquía, Antalya
Prof. Dr. Aykut Recep Aktaş Interventional Radiology and Ultrasound Clinic

Aykut Recep Aktas

Neurorradiólogo
24 años de experiencia
El Dr. Aykut Recep Aktas es especialista en radiología intervencionista centrada en el tratamiento de varices, técnicas de imagen en radiología, procedimientos mínimamente invasivos y aplicaciones radiológicas en oncología. Es miembro de varias sociedades profesionales, entre ellas la Asociación Turca de Radiología y la Sociedad Europea de Radiología. Sus investigaciones se han publicado en diversas revistas médicas.Mostrar más
El Dr. Aykut Recep Aktas es especialista en radiología intervencionista centrada en el tratamiento de varices, técnicas de imagen en radiología, procedimientos mínimamente invasivos y aplicaciones radiológicas en oncología. Es miembro de varias sociedades profesionales, entre ellas la Asociación Turca de Radiología y la Sociedad Europea de Radiología. Sus investigaciones se han publicado en diversas revistas médicas.
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Hakim Cihangir
Especialista en trasplante capilar
17 años de experiencia

Hakim Cihangir

Especialista en trasplante capilar
17 años de experiencia
Turquía, Estambul
Clinic Wise
Sillan Nayci
Dermatólogo
13 años de experiencia
4.0
1 reseñas

Sillan Nayci

Dermatólogo
13 años de experiencia
Turquía, Estambul
Reyap Hospital
Ceren Durgun
Otorrinolaringológo
7 años de experiencia
4.8
7 reseñas
Turquía, Estambul
Medipunto Clinic

Ceren Durgun

Otorrinolaringológo
7 años de experiencia
El Dr. Ceren Durgun es un experimentado otorrinolaringólogo con más de 6 años en el campo. Se especializa en una amplia gama de procedimientos cosméticos, tales como rinoplastia, otoplastia y septoplastia. Su experiencia se extiende al tratamiento de condiciones ENT y la realización de cirugías ENT.Mostrar más
El Dr. Ceren Durgun es un experimentado otorrinolaringólogo con más de 6 años en el campo. Se especializa en una amplia gama de procedimientos cosméticos, tales como rinoplastia, otoplastia y septoplastia. Su experiencia se extiende al tratamiento de condiciones ENT y la realización de cirugías ENT.
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Fotos de antes y después de
4.8
7 reseñas
Cita con el médico precio a consultar
Reducción de labios $1400
Levantamiento de cejas $1800 - $2500
Trasplante de bigote $1300
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Arslan Musbeh
Especialista en trasplante capilar
19 años de experiencia
Turquía, Estambul
Hairmedico Clinic

Arslan Musbeh

Especialista en trasplante capilar
19 años de experiencia

El Dr. Arslan Musbeh es un especialista en trasplante capilar con más de 15 años de experiencia. Experto en trasplante capilar FUE.

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El Dr. Arslan Musbeh es un especialista en trasplante capilar con más de 15 años de experiencia. Experto en trasplante capilar FUE.

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Fotos de antes y después de
Esta página puede incluir información relacionada con diversas afecciones médicas, tratamientos y servicios de salud disponibles en diferentes países. Tenga en cuenta que el contenido se proporciona sólo con fines informativos y no debe interpretarse como asesoramiento médico o orientación. Por favor consulte con su médico o con un profesional médico calificado antes de comenzar o cambiar el tratamiento médico.