RHINOPLASTY

Operation

Every year, half a million people, interested in improving the appearance and function of their nose, consult a plastic surgeon. Whatever the cause –deformity or dysfunction- the fact is that nothing affects a person’s appearance more than the shape and size of their nose. The nose is the most defining feature of the face, as it is the vertical axis around which all other features of the face are placed, so even a minor change can greatly alter a person’s appearance.

Normal breathing through the nose, acquired aſter a successful functional rhinoplasty, helps the patient feel better, stronger in his activities, as he sleeps peacefully, without snoring or nightmares. The cessation of breathing during sleep, known as “sleep apnea” is effectively treated, thereby avoiding unpleasant effects on cardiopulmonary function.

The sinusitis and otitis crises are reduced or even eliminated. Finally, good breathing through the nose results in better functioning of the lower respiratory tract.

At the same time, the aesthetic correction of nasal problems helps the patient mentally and psychologically.

Success in functional rhinoplasty highly depends on proper doctor-patient communication. Trust, based on realistic expectations on the side of the patient and surgical expertise on the side of the doctor, is the beginning of a successful outcome.

Key points for a successful rhinoplasty:
  • Small changes in the shape and volume of the nose
  • Symmetry and harmony with the rest of the features
  • A natural result that doesn’t look operated
Who is the right surgeon to perform a functional rhinoplasty?

Dr. Athanasios Skouras is an ENT, Facial Plastic Surgeon, President of the Hellenic Association for Functional Rhinoplasty. He has dedicated his entire life and career to specialising and excelling in the field of functional rhinoplasty, aiming at perfecting his techniques, as he considers this to be the most challenging and beautiful operation on the face.

His specialisation in the field of rhinoplasty makes it possible, in a single surgery and by the same surgeon, to achieve the excellent restoration of the nasal function alongside with its aesthetic improvement. Dr. Skouras firmly believes that the rhinosurgeon must place the problem in its true basis and discuss with the patient what is right for him/her, thereby creating realistic expectations about the outcome. The surgeon should not blindly follow his patient’s wishes, when he considers them inappropriate, nor try to copy the “look” of contemporary movie stars -a frequent desire expressed by several patients-, since each face is unique, has its own structure, under which any aesthetic intervention should be designed.

Anesthesia

The operation is performed under general anesthesia.

Stay in clinic

1 day

Post Operative Period

Rhinoplasty is a painfree operation, without post-operative complications, swelling or bruising, provided that a highly specialised surgeon performs it and dedicates the time necessary to achieve great results without traumatising or damaging the tissue in the area.

The patient returns to work within 1 week, with a full aesthetic and functional nose restoration.

Medical Spa

10 days aſter the operation, the patient can enjoy a mild facial cleansing and skin hydration, applying PCA Skin protocols, at the SkourasMed Medical Aesthetic & Plastic Surgery Clinic. The patient will leave with a healthy, clean, glowing skin.

Before and After Outcomes

FACELIFT

Operation

For Dr. George Skouras, Plastic Surgeon, facelift is the most beautiful and magnificent intervention of Plastic Surgery. It's beautiful, on one hand, for the surgeon, as he handles the patient’s face in the most delicate and precise manner, with respect to the tissues and treating them like they belong to his own face. It is certainly as beautiful for the patient, whose face reverts to the way it looked 10-15 years ago.

During a facelift, we restore the damage brought about with ageing. Specifically, we correct sagging skin at the temple region and eyebrows, cheekbones, cheeks and neck. We usually combine facelift with blepharoplasty, to correct the sagging of the eyelids.

How do we restore the face?

The looseness that we observe on the face, firstly relates to the skin. The surgeon removes the excess skin, and subsequently, rotates and restores it to the position it was before sagging.

At the same time, the skin’s underlying structure, i.e. the muscles and fasciae, tends to break down and sag. These tissues must be pulled back as well, during the operation.

In other words, to achieve great, natural and long-lasting results with a facelift, the specialized surgeon should not operate superficially, but restore both the skin and the tissue beneath it.

What does a successful facelift look like?

A successful facelift delivers a natural, non-operated look on the patient’s face. The face looks rested and happier, as if the patient has just returned from a relaxing vacation.

What is the right age for a facelift?

For a patient to undergo a facelift, the skin must present some sagginess and wrinkling. The age at which this occurs, can vary from person to person, but it is usually observed after the age of 40.

Once the problem has appeared, the sooner a patient is submitted to a facelift, the longer-lasting and more natural the result will be. That is, because young and youthful skin tissues respond better to the surgery and maintain the result over time.

Can a man undergo a facelift?

Nowadays, more and more men undergo facelifts. A man in his 50s today is socially and professionally active. However, drooping lower eyelids or sagging cheeks can make him look older and tired. Competition in the workplace frequently demands a young and vigorous look, which is successfully delivered through surgery.

Where are the incisions made?

Incisions are made within the hairline. The only exposed part is around the ear, where the incision is placed in a natural crease of the skin, rendering it invisible. It has to be noted that the face generally has very good blood circulation, which results in fast and good healing.

Duration of the operation

The surgery lasts about three hours. The surgeon works patiently, never looking at the clock, completing the operation only once the results are perfect, fully satisfying for him and his patient.

Anesthesia

The operation is performed under general anesthesia.

Stay in Clinic

1 day

On the day after surgery, bandages are removed and the patient leaves the clinic. There is no pain in any post-operative stage and the swelling is usually mild.

Post Operative period

The patient returns to work after 7-10 days and can exercise after about 20 days.

Long lasting results

Facelift results last forever. The patient will look better than what nature had planned for them, for the rest of their life. Practically, 10 years after surgery, the person will look younger and more attractive than he/she was before surgery, provided that the surgeon operates in depth; not superficially in the skin, but also in the underlying muscles and facial structures.

BLEPHAROPLASTY

Operation

Changes around the eyelids are the first signs of ageing on the face. Blepharoplasty improves the appearance of the upper eyelids, the lower eyelids, or both, thus offering a fresh and rested appearance. More specifically:

  • On the upper eyelids, the surgeon removes excess fat that gives a puffy and “tired” look to the eyes
  • The surgeon also removes loose and “saggy” skin, which affects the natural contour of the upper eyelid, or in some cases even disturbs the patient’s vision.
  • On the lower eyelids, we remove excess skin and treat fine lines and wrinkles under the eyes.
  • Finally, the “bags” under the eyes are eliminated.
Where are the incisions made?

The upper eyelid incision is “hidden” inside a natural crease. In the lower eyelid, the incision is made just beneath the lash line. In both cases, there is no visible scarring.

Anesthesia

Blepharoplasty is usually done under local anesthesia, unless it is combined with other surgical procedures, such as Facelift.

Stay in Clinic

None.

Post Operative period

Non-absorbable sutures are placed on the incisions; they are removed on the 2nd and 5th day after surgery. Immediately after surgery, there is usually some mild swelling, which resolves about a week after surgery, giving way to a more smooth and youthful appearance. The final aesthetic result of blepharoplasty will become apparent after a few weeks, while the incisions will be invisible after two months.

The results are permanent. The fat, which is removed from the eyelids, does not reappear. Although the ageing process continues to evolve, patients are usually happy with their appearance for many years after a blepharoplasty.

OTOPLASTY

Operation

The protruding ear – flap ears –is a deformity of the cartilage, which projects from the head more than usual. This deformity does not affect a person’s hearing, but significantly affects his mental health.

Cosmetic ear surgery, also known as otoplasty, is a cosmetic surgery designed to reduce the size of large ears or pin back ears that protrude too far from the head.

Protruding ears appear in the 5% of the population and are due to hereditary factors. They are seen immediately after birth, their shape and position does not change with time, while their final size is acquired at the age of 5-6. It is therefore proper for children to be operated on when they are 5-6 years old, before starting school in order to avoid comments that could irreparably injure their psychology. Adults can be operated on at any age, when they decide to get rid of the deformity and to look at themselves in the mirror with a different psychology.

Anesthesia

The operation is performed under local anaesthesia; the patient “works” with the doctors, discussing the progress, and immediately sees the final result.

Stay in Clinic

None.

Post Operative period

After surgery, an elastic bandage is being placed that covers both ears and is removed on the 5th day. On the 7th day, the sutures are removed. After removing the bandage, the patient can return to work or school, if it is a child.

The surgery is painless, 100% successful without any failure rate when performed properly by a specialist. A specialist is the doctor who has excellent knowledge of the ear’s cartilage –within the specialty of otolaryngology- and has been specialized in facial plastic surgery.

LIPOSUCTION

Operation

Liposuction is a minimally invasive cosmetic surgery, with which areas of localized fat accumulation are removed, through a very fine tube called cannula. The fat from this area is sucked from the body through this tube, creating for the patient a slim and balanced shape.

Modern technological developments have rendered liposuction minimally invasive and very safe. Liposuction may be used to treat stubborn fat deposits in the following areas: thighs, chest, abdomen, face, arms, legs, back, ankles and hips.

Candidates for Liposuction

The ideal candidate for liposuction is healthy and in good general condition, but has one or more areas with fat accumulation.

The patient must have realistic expectations and know that liposuction is not a massive weight loss method. Instead, it is used to address local fat deposits, when other non-invasive methods have failed.

Anesthesia

The surgery can be performed under either general anesthesia or sedation, or under local anesthesia, depending on the amount of fat being removed.

Will there be any scaring?

The incisions are very small and leave no scar. Through these incisions, a very fine cannula enters the body, through which the fat is sucked out.

Post Operative period

After liposuction, patients may experience mild swelling and bruising in the treated areas. The swelling goes away within two months and the patient can then have a safe perception of the outcome. For the first three weeks after surgery, the patient has to wear a corset or belt, depending on the treated area, in order to limit swelling.

The patient can return to physical exercise after a week (always depending on the amount of fat removed), while at work much sooner. The results of liposuction are permanent, as fatty tissue does not regenerate.

The body areas treated with liposuction will never have fat accumulation again. The shape of the body changes; even if the patient gains weight after surgery, it will be allocated more symmetrically, in his/her new shape.

Medical Spa

Post-operatively, the patient can enjoy 2-3 lymphatic, endodermic massages, which will minimize the swelling and help it subside a lot faster. Furthermore, the patient can enjoy the results of Exilis intensive skin tightening in the areas treated, ensuring the perfect result on the skin appearance and cellulite.

BRAZILIAN BUTT LIFT

Operation

A Brazilian butt lift is a buttock lift and tightening procedure that offers beautiful, feminine shape to the patient. The surgeon uses liposuction to harvest fat from one or more areas of the body, and inserts it into the butt cheeks and the outer hips. This procedure can address a range of concerns, including flat or sagging buttocks, asymmetry, or other disproportions sometimes due to massive weight loss. Technological innovations in this field, in the hands of an experienced Plastic Surgeon, offer perfectly symmetrical and natural results, through a minimally invasive and fast procedure.

The Innovation

Initially, the surgeon performs a liposuction, shaping the body and creating the perfect “frame” for the buttock area, where the fat will be inserted. Subsequently, the cutting-edge, brand new BBL device, applied in Greece only by Dr. George Skouras, automatically processes the fat removed and isolates the part that can be reinserted to the body. Furthermore, the fine cannula of the device allocates this fat symmetrically on the buttocks, lifting them and creating the ideal size and shape for each individual.

It has to be noted, that the fat never exits the device, thus offering a completely sterilized and risk-free environment for the patient. The fat is no longer injected to the body through syringes, as it is with other techniques, but it is inserted automatically through special cannulas, rendering the result much more symmetrical and not dependent on the pressure applied by the surgeon. The process is fast and completely pain-free.

Anesthesia

The surgery can be performed under sedation or local anesthesia.

Stay in Clinic

None.

Post Operative period

Similarly to liposuction, Brazilian Butt Lift is characterised by a very mild post operative period. The patient is pain-free and has to, merely, avoid sitting on the operated area for the first 2 weeks. Within 2 months, the final result is visible.

TUMMY TUCK

Operation

Abdominoplasty, also known as tummy-tuck, is a very common procedure, with which the surgeon addresses the problem of sagging skin in the area of the abdomen. The reasons for the sagging skin are mainly two:

  • Massive weight loss
  • Pregnancy

During an abdominoplasty, excess skin and fat from the abdomen is removed and the underlying muscles are repositioned. Therefore, after the surgery the abdomen is smooth and flat, while the waistline becomes thinner.

Anesthesia

The surgical procedure is performed under general anesthesia.

How will the scar look post-operatively?

The incisions, and hence the scars after healing, are made where they can be covered by the underwear or swimsuit.

Stay in Clinic

1 day.

Post Operative period

There is no pain after surgery. The patient stays for one night at the clinic.

For a month, an abdominal belt should be worn and should only be taken off in the shower. This belt contributes to faster recovery and treatment of swelling and bruising.

The patient can return to work after a week and to physical exercise after a month.

BREAST AUGMENTATION

Operation

Breast augmentation is one of the most common aesthetic procedures. The insertion of silicone implants offers women with small or asymmetrical breasts, an improved, more harmonic and balanced appearance. Every woman’s body is unique, as are her expectations. This is why it is imperative that a thorough pre-operative discussion takes place. During her visit to the surgeon, it is important that the patient sees numerous pre and post-operative photographs of other operated patients, so that she can discuss with the surgeon which size would suit her best. This ensures the success of the surgery as well as a natural result.

Safety of silicone implants

Silicone implants are totally safe and there is no risk of rejection by the body, as long as the best quality implants are always used. Given the fact that there are good and bad quality silicone implants, the surgeon has the moral obligation to use with all patients the best quality implants internationally.

Where are the implants placed?

The silicone implants are almost always inserted under the pectoral muscle, where they are covered by another layer of soft tissue, offering a more natural result, both visually and palpably. Otherwise, if the implant is placed over the muscle (directly below the gland), the upper end of the implant is visible under the skin, giving the breast an operated look.

Placing the silicone implants beneath the muscle also decreases to a minimum the possibility of the occurance of a sclerosing capsule around the implant.

Where is the incision made?

The incision is usually made in the sub-mammary crease, where healing is better and the mammary gland is not injured. In that way, the surgery does not affect at all breastfeeding.

Anesthesia

The surgical procedure lasts 1.5-2 hours and is performed under general anesthesia.

Stay in Clinic

1 day.

Post Operative period

Patients can return to work approximately one week after the surgery. Furthermore, they can shower normally after 2 days, since a special bandage is placed over the incision. Absorbable sutures are used, which are not externally visible. Most patients do not mention any post-operative pain, while the greater part of the swelling subsides within 2-3 weeks. They are able to start aerobic exercise approximately 21 days after surgery. The incision scars will start to fade away from the first weeks and they will be imperceptible after a few months.

BREAST LIFT

Operation

A woman’s breasts can sag as a result of age, gravity, pregnancy, breast-feeding or weight loss. A breast lift, also called mastopexy, restores the youthful appearance of the breast that has sagged or lost its volume and firmness.

A breast lift makes the breast look younger, by removing excess skin and tightening the underlying tissues. After surgery, the breast is placed higher on the chest and is firmer to touch. Furthermore, with the mastopexy it is possible to shift and reduce the size of the areola. The size of the breast does not change with mastopexy, nor does the fullness or round shape of its upper pole. Patients that desire larger, smaller or rounder breasts should possibly combine mastopexy with implant insertion or reduction, respectively.

Am I a candidate for mastopexy?

The best candidates for mastopexy are patients whose breasts have:

  • Loose skin
  • Lost their shape or volume
  • Breasts that are widened, elongated or ganging
  • Nipple-areola ptosis or enlarged areola
  • Asymmetrical breasts

It is imperative for the candidate to

  • Maintain a relatively steady weight
  • Be in good general health
  • Not smoke
  • Have thorough discussions with the surgeon, so that they have realistic expectations
Anesthesia

Mastopexy is performed under general anesthesia and lasts 2-3 hours.

The procedure

The incision usually has the shape of an inverted T, accompanied by a circular incision around the nipple. With these incisions, the breast is lifted and acquires a new, younger-looking outline. Furthermore, the nipple and areola are moved higher up on the breast and their size is reduced, when necessary. After removing the excess skin, deep sutures are inserted to hold the breast in its new position. Lastly, the skin is connected with very thin sutures.

Stay in Clinic

1 day.

Post Operative period

During the first 2 post-operative days, the patients wear an elastic bandage, which is later replaced by a special brassiere. This brassiere should be worn constantly for a month and should only be taken off in the shower. After surgery, the breasts will have swelling and bruising, which will subside within a few days. The numbness that is usually present in the first days subsides along with the swelling. The sutures are removed after about 10 days and patients can return to work.

Will I be satisfied with the result?

Proper patient-doctor communication ensures realistic expectations and patient satisfaction. You will be able to see the result immediately after surgery and you will be even more satisfied as the swelling subsides.

ARM LIFT

Operation

With arm lift, the surgeon removes excess skin from the arms (from the shoulder to the elbow). Thus, the sagging arm, caused by aging or weight loss, is treated.

The common incision of arm lift extends from axilla to the elbow. It is usually located on the interior surface of the arm, so as not to be easily visible. Through this incision, excess skin and fat is removed.

Anesthesia

The operation is performed under general anaesthesia.

Stay in Clinic

The surgery takes about two hours. The patient leaves the clinic a few hours after surgery.

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