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Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Downward slanted eyelids are usually a familial characteristic that is passed down to you by your parents. The reason for that eyelid position has to do with the position in which the ligaments that hold up the corners of the eyelids are attached to the underlying bone rim. An operation called canthoplasty detaches these ligaments, and reattaches them in a more cosmetically favorable position, adding good support to the lower lids and elevating the position of the outer corners of the eyes. Please discuss this with an experienced, board certified Plastic Surgeon or Oculoplastic surgeon to determine whether you may be a good candidate for this procedure.
All the best,
Dr. Skourtis
DrMSkourtisPlasticSurgery.com
Board Certified Plastic Surgeon
Upper eyelid skin is some of the thinnest skin in the body. In fair-skinned individuals, this can mean that the small blood vessels right under the skin may be more visible. Some people may be candidates for laser treatments to eliminate very small vessels. Unfortunately, there is not much to be done about larger visible vessels. Please discuss with your Plastic Surgeon whether you would be a candidate for laser treatments. Otherwise, if this appearance is quite bothersome to you, I would recommend the use of a good quality skin cover-up cream or foundation to even out the color and appearance of the skin.
All the best,
Dr. Skourtis
DrMSkourtisPlasticSurgery.com
Board Certified Plastic Surgeon
You just had major surgery to repair your broken orbital bones, and I want to reassure you that it is absolutely normal and expected that you would still have significant swelling at this early stage post surgery. Swelling itself contributes to the appearance of asymmetric, narrow, and tight-looking lids. In addition, your surgeon may have included an important step to your surgery that involves placing a snug stitch to provide support to the lower lid while it is in its early healing stages. This usually creates a temporarily tight and even a slanted appearance of the lids right after surgery, but this can be expected to relax and soften and become more even over the next couple of weeks to months.
It is hard to be patient with healing, but what you are experiencing is normal, and should continue to improve a lot over time. If you still have concerns at 3 months after surgery, discuss this with your plastic surgeon.
All the best,
Dr. Skourtis
DrMSkourtisPlasticSurgery.com
Board Certified Plastic Surgeon
Th answer to this question varies widely between insurance companies, specifics of the defect, and circumstances of the procedure. If a significant deformity resulted from a procedure intended to treat a reconstructed breast (i.e., donor site for fat transfer), your insurance company may indeed cover a revisional procedure to address the donor site. If, however, you elected to have cosmetic liposuction performed in conjunction with the fat transfer, this may be considered a complication of a cosmetic procedure, and this would not be covered by your insurance.
Please talk with your doctor and to your insurance company about your options. You may even consider getting a second opinion if you feel your questions are not getting answered. I can assure you that a full tummy tuck will not be covered by your insurance, but a scar revision or panniculectomy procedure directed at reducing redundant lower abdominal tissue might be possible.
All the best,
Dr. Skourtis
DrMSkourtisPlasticSurgery.com
Board Certified Plastic Surgeon
I agree that this is an excellent question! Cosmetic tummy tuck and breast lift and/or augmentation procedures are performed as combined procedures frequently, and have been given the name "Mommy Makeover," as the procedures are intended to address the loss of firmness and contour that can result from pregnancy. A breast reduction typically takes a bit longer than a breast lift/ augmentation, and therefore, will add some time to your surgery and anesthesia. Your general health is a much more important predictor of your surgical risk than your age alone. If you are in generally good health, or obtain medical clearance from your primary care physician, your board certified plastic surgeon may be very comfortable combining these procedures under one period of general anesthesia. If, however, there is any significant concern about your health, or if you have underlying medical conditions such as coronary artery disease or diabetes, it may be safer to have the procedures performed separately at different times.
Please be certain to discuss you options with your board certified plastic surgeon, and make sure your procedure is performed in an accredited facility, preferably a hospital with inpatient beds for an overnight observation.
All the best,
Dr. Skourtis
DrMSkourtisPlasticSurgery.com
Board Certified Plastic Surgeon
Hands down the best of the best!! Nice, friendly, knowledgeable, decent priced, clean, the list can go on for the reasons I would recommend Mia! I went to Florida for a low priced boob job and tummy tuck. Mia fixed my left boob and will now be my botox go to queen from here on out!!!
I had lost 110+ lbs and maintained the weight loss over 5 years. I looked for 2 years to find a doctor that listened to me, took the time to explain everything, had credentials and had awesome bedside manner and Dr. Mia Skourtis is it! In a world now where there are Instagram surgeons, “specials” on procedures, there was a lot of wading around to find the right surgeon. She doesn’t have a profile full of before and afters, but she does have heart, dignity and years of experience. There are also before and after in her office if this is an important thing to you :) What sets her apart is the time she takes to explain, listen, care for you AND she’s such a delight! I knew immediately after our consultation that she was the right surgeon for me based on her explanation of why and how she does what she does, what is important to her is what is important to you! No question is a bad question, she’s available anytime I was needing assistance or just wanted some peace of mind before, during and after the healing process. She is a perfectionist in her craft! She takes her time during surgery, and in every office visit to make sure you are fully set up for a strong, healthy and beautiful outcome.
I had a great experience, and I totally love my Doctor, she's been amazing through this process. I'm 34 years old with two kids and getting a tummy tuck was something that I wanted for years, today I'm on my 10th day after surgery, and even though I'm still swallowed, I already love my results and my new body. My doctor is so patient and nice, she makes me feel comfortable, yesterday I have my first appointment after my surgery and the only bad thing is that I have to keep my drains for at least 4 more days, they stared bothering me about 4 days ago and I was so excited to not having them. Everything went better than expected, pain was not bad for me, with my pain meds of course, I been resting everyday, all day, eating well, even though I barely have any appetite. Swallowing was bad on the first few days but what really was a problem for me was having a bowel movement because not only have had to wait a week but it was very painful when I had one, even though I have a long way to go it's one of the best decisions in my life. Updated on 11 Jun 2018: Day #17 everything going great! After the drains Everything just got better I’m super happy with my results
While my breasts weren't big by many people's standards, on my frame they were way too large. I'd gained and lost a bunch of weight very rapidly several times during my teen years due to medications I was prescribed at the time. I have very lumpy and dense breast tissue and they were already large and a bit saggy to begin with, but after the serial weight gain/loss they were hanging really low. My breasts also fluctuate a lot month to month and when that happens they become huge (up an entire bra size or two), swollen, hard, and painful. I've worn properly-fitting bras for the past ten years (tighter in the band and larger in the cup, versus the standard American bras that are loose in the band and smaller in the cup, which results in spillover and all the support coming from your shoulders instead of your ribcage). I think that was why I didn't have chronic back or neck pain like so many large-chested women do. I do have terrible posture from supporting their weight, and could never not wear a bra even just around the house without feeling back pain. I've daydreamed about getting a breast reduction for as long as I can remember because aside from the physical issues, I was also self-conscious of them, they were constantly getting in the way, clothes didn't fit right, etc. etc. It wasn't until recently that I finally realized this was something I COULD do. I did a lot of research, had a consult with an amazing surgeon, my insurance approved it (and I'm so grateful it was so easy, because I know it's not for many people) and my surgery was yesterday. I should mention that I also got a lipoma removed from under my right arm. I had the option to stay overnight but I felt good once the grogginess from the anesthesia wore off. I ate my entire dinner, peed, and they let me go! Today is day one after surgery and I feel great. I'm taking 5 mg of oxy every 5 hours and eating and drinking normally. Trying to do lots of water and tea and broth along with solid foods. The oxy is making me a little sleepy and groggy but other than that I have't noticed any side effects. I haven't taken the gauze off yet because the nurse who discharged me forgot to give me any. So my friend is running to pick some up tonight and then I'll finally get to take the bra off and see how they look! So far I've only peeked a little and they looked amaaaaazing and tiny, just like I wanted! She took 317 grams from one side and 270 grams from the other for a total of about 1.25 lbs. Right now the most annoying thing is the drains because they're hanging down by my sides and where the tubes go into my skin is a bit sore. I've had very little drainage though, so I'm hoping I can get them taken out a few days early.I'll add more pics once I take the bra and gauze off tonight. Updated on 13 May 2018: Mostly just itchy at this point. Still taking oxy every 5-6 hours but trying to go longer in between and use Tylenol and gentle heating pads as well. Very little pain besides a bit of discomfort where the tubes go in. I’m hoping I can get them out tomorrow instead of Wednesday because I’m barely draining any fluid. Updated on 13 May 2018: I forgot to mention, I wasn’t sure if I wanted to post a review or not but I depended so heavily on looking at other peoples’ while researching and prepping for surgery that I figured I should, even if only helps one or two other people. Sorry the photos have been out of order, I had some issues with uploading and adding text. Hoping to get tubes out tomorrow as they’re itchy and sore and the skin looks a bit red around them. Will post more after pics soon! In the meantime here’s a couple more before pics. Updated on 14 May 2018: Here are some update photos from this morning before I got the drains out. It was beautiful outside so I hung out in my yard and got a little sun on my chest for the first time ever :) Still bruised but it’s pretty minimal and mainly just around the base of my breasts. Drain removal was totally pain-free and it feels so good not having them in. The incisions are a little tender but should close up on their own. I have a new cotton bra to wear for the next two weeks and I can go back to sleeping in bed instead of a recliner whenever I’m ready. I took 5 mg of oxy at 5 am and haven’t taken any since, just Tylenol. I’m still pretty sleepy a lot of the time and VERY bloated (I weighed myself out of curiosity this morning and I weigh 10 lbs more than when I went into surgery!) Lots of water retention from the shock of surgery but I know it’ll work itself out. I haven’t been too constipated but I’m sure that’s contributing too. Updated on 19 May 2018: Sorry for the delay! My boobs are good and I love them. Every time I’m in front of the bathroom mirror I can’t help but giddily check them out. It’s unreal not having the mass of all that flesh there anymore. I find myself affectionally holding them a lot because they’re just so cute and tiny and light! I got the drains out four days after surgery and took my last oxy that morning. The tubes were irritating and caused most of my (honestly very slight) discomfort so getting those out basically erased what little pain I was experiencing. The entire recovery has been almost painless and I probably didn’t even need to take the oxy as long as I did (I was doing 5 mg every four hours at first, then every five or six hours the last few days). Slightly warm heating pads and occasional acetaminophen or ibuprofen (got the okay from my doctor) have been doing the trick for any residual soreness. I’ve been back in my bed instead of a recliner since Tuesday and I’m a side sleeper regardless of how many pillows I try to prop myself up with, so I’ve been waking up with a little soreness, but it’s not bad. I took my last antibiotic yesterday and the bloating has finally mostly gone away. I woke up dizzy and threw up Monday night but that may have been related to getting glasses with a new rx and stupidly wearing them for the afternoon. I didn’t have any other nausea and the only other side effect I’ve experienced has just been being super exhausted. But the past few days I’ve felt almost completely back to normal energy and I even did a bunch of yard work today. I baked a cake my first day after surgery so it’s reasonable to say I bounced back fast. I finally took my steri strips off today. I have extra stretchy skin so my doctor and I discussed reapplying at my next follow up to support the incisions so the scars don’t stretch. But the original strips were peeling and I don’t see her again for a week and a half, so I got my friend who’s a nurse to nab me some and reapplied them myself today. My nipples look a lot darker and more uneven in the photos but in real life they’re only slightly uneven. One has been very sensitive throughout recovery, the other has only a little sensitivity, but I didn’t have much nipple sensitivity to start with. The difference in boob size is also less obvious in real life, but I’m not worried about it. You can see how bruised and swollen the larger one is on the outer side compared to the smaller one. I know the swelling will continue to subside over the next few weeks. Here’s some silly photos of me under anesthesia that I forgot to put up before. No idea why I did this (it’s not my normal photo pose...) but I held up double peace signs all the way down the hallway as I was wheeled away into surgery, as well as right after getting the anesthesia. Thankfully my friend was there to document my dumb self. And here’s the announcement I sent out to friends and family after surgery. I spelled adieu wrong but I’ll blame the oxy :) Updated on 23 May 2018: Doing fine, although my boobs have been a lot more sore the past week or so. Yesterday and today I’ve felt some occasional sharp shooting kinda zing feelings on the side/nipple. Everything’s still taped up but there’s also some pain along the incision line on both sides, maybe where the scar tissue is starting to build up. I’m still pretty bruised and swollen on one side but the other side is looking a lot better. Next followup appointment is in one week.
I wanted botox (first time) for forehead lines. I was worried about over doing it, as I have had that experience before with other practitioners using fillers. She is kind, listens to all of your concerns, explains everything in a thoughtful manner. Plus, she delivers perfect results at reasonable rates. I will definitely be back!
Been going to Dr Skourtis for a couple of years for Botox and some filler. She is great at meeting your needs. She knows how to give the best results making your face being the best it can be to look natural. I highly recommend Dr Skourtis to my friends. I am looking forward to the future to use some other procedures she performs.
I researched and had consultations with 4 other local plastic surgeons before I chose Dr. Skourtis. What set her apart was how much time she spent with me and how thorough our first meeting was. I was interested in a rhinoplasty and would you believe Dr. Skourtis was the only surgeon who did a full exam of my nose? None of the other surgeons even looked inside my nose to discover I had a deviated septum! Dr. Skourtis spent about an hour with me doing a full exam and explaining the procedure, recovery, etc. In the end I chose her over several other well-known Portland surgeons and ended up having not only rhinoplasty, but upper blepharoplasty as well. Dr. Skourtis does her surgery in a hospital, rather than her office or a clinic, like some of the other surgeons, and that also set my mind at ease. I am completely thrilled with the results of both procedures and I think I already look 15 years younger! I highly recommend Dr. Skourtis and my only regret is that I didn't meet her 20 years ago.
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