The Surgical Artist's Blog

Breast Reduction at Southern Surgical Arts

Posted by Chad Deal on Jul 27, 2015 7:32:00 PM

Macy_in_dress_500Breast augmentation surgery receives a lot of attention, but in our practice we’ve seen that breast reduction surgery can be equally transformative, with impressive, beautiful results.

Reduction mammoplasty, or breast reduction, is the precise removal of excess breast tissue and skin to achieve more proportional contours. Breast reduction is a very common surgery in the U.S., with more than 41,000 cosmetic procedures performed in the year 2014 alone.

Women opt to have breast reduction surgery for many reasons. Some of the most common we have heard from our patients include:

  • To make their breasts more proportional to their frame
  • To relieve neck, back, and shoulder pain caused by bra straps
  • To achieve more symmetrical breasts when one is much larger than another
  • To be able to exercise more strenuously and participate in sports without breasts hindering movement or causing discomfort 
  • To feel more confident about their body and to have more options in clothing and bras
  • To make it easier to assess breasts for masses during exams, possibly improving cancer detection

About the Procedure

During the procedure, your cosmetic surgeon will generally need to make three incisions; one around the areola (the pigmented part of the nipple), and then two more that form an anchor shape—one vertically down to the breast crease and one that follows the breast crease horizontally.

After the incisions have been made, the excess fat and tissue are removed.

A surgeon may also reshape and reposition the areola and nipple to achieve the most aesthetic results.

In most cases, a surgeon may choose to combine the procedure with a breast lift, or he may use liposuction to remove excess fat in combination with the surgery. The precise techniques will vary depending on each patient’s unique needs and desired outcome.

It will take only a week or less to recover from breast reduction surgery due to the latest techniques to improve your experience. It is common to have swollen, tender breasts for a few days, and you will probably experience some bruising. However our attention to detail means that every aspect of your recovery is addressed. Your comfort, counseling, follow ups, and expediency back to your normal daily routine should be the tenets of a practice providing this level of care.

While some view breast reduction as more of a reconstructive procedure, here at SSA we do not. We are just as focused on the cosmetic outcome as we are improving the quality of life issues that can come from having very large breasts. Length of the scar, improved cleavage and bust (if desired), and longevity of the aesthetic results should all be considerations of a cosmetic surgeon.

The most important decision you can make when you choose to have breast reduction surgery is to choose a qualified, board-certified cosmetic surgeon with experience doing many similar procedures. Ask to see his “before and after” photos so that you can get an idea of his aesthetic abilities and skill. Choosing an experienced surgeon will help ensure you have a safe surgery and recovery, and as beautiful results—with as minimal scarring—as possible.

Am I a Candidate?

Breast reduction surgery may be a good option for you if you are:

  • Between 18 and 65
  • Non-smoker
  • In good general health
  • Interested in aesthetic enhancement of the breast

There are many considerations when contemplating surgery of any kind. If you are interested in a breast reduction surgery, our board-certified, award-winning surgeons, Dr. Carey Nease and Dr. Chad Deal, will be happy to answer all of your questions during a free personal consultation. We want you to feel completely comfortable with your decision, and the best way to achieve that is to be fully informed.

To schedule your complimentary consultation, please call Southern Surgical Arts at 423-266-3331.

Read More

Topics: Breast

Get the Halo Healthy-Skin Glow

Posted by Chad Deal on Jun 29, 2015 12:00:00 PM

halo-logo-adThere are few things more exciting at Southern Surgical Arts than adding new cutting-edge technology to offer our patients more and better treatment options. So we are happy to announce our newest addition: the Halo Hybrid Fractional Laser from Sciton!

The Halo Laser is truly unique. It is the only FDA-approved laser that offers the benefits of both ablative and non-ablative lasers in one innovative new tool.

With each treatment with the Halo laser, your cosmetic surgeon is able to reveal new and gorgeous skin by “ablating” and removing tired, damaged skin cells, but with the limited downtime that is normally associated with less comprehensive, non-ablative treatments. Patients truly get the best of both worlds with Halo.

Thanks to the dual wavelengths utilized by this laser, you can get the “halo glow” with a precisely-customized treatment plan based on your skin’s unique needs and the amount of time you have available for recovery.

Tell us what you need, and we’ll create a treatment plan that works just for you and your lifestyle! That may mean one or two, more aggressive treatments, or several “light” treatments spread out over a period of time. Either way, your skin will be completely rejuvenated.

Skin Conditions Treated

The Halo Laser is suitable for:

  • Fading age spots caused by sun damage
  • Minimizing pore size and appearance
  • Improving skin tone and texture
  • Smoothing scars
  • Reducing fine lines and wrinkles
  • Creating a healthy, youthful glow

Patients generally see improvement within a few weeks, with skin regeneration continuing over the first few months. Best of all, your skin will show the benefits of your Halo treatment for years, provided you protect your skin from further sun damage.

If you’d like to learn more about how you can get the Halo glow, call Southern Surgical Arts at 426-233-3331 for a complimentary consultation with Dr. Carey Nease or Dr. Chad Deal. We’d love to talk to you about how laser rejuvenation can give you the beautiful skin you’ve always desired.

Schedule a Halo consultation

Read More

Topics: Skin, MedSpa

Injectables and Cosmetic Surgery: Better Together?

Posted by Carey Nease on Jun 22, 2015 12:30:00 PM

breast_roll_bQ: Is it true that adding Botox or fillers to my facial rejuvenation procedure will improve my results?

A: This is actually a question that we get asked more and more frequently, as people are learning about their options regarding cosmetic surgery. Yes, it is true that injectables like Botox and fillers can provide maximum impact when combined with facial rejuvenation procedures.

Neurotoxins like Botox and Dysport are ideal for relaxing fine lines, crow’s feet, forehead wrinkles and more, by temporarily blocking nerve function to relax muscles and create a smoother surface. Fillers such as Juvederm and Voluma add volume to hollowed places, smooth lip lines, improve the appearance of nasolabial folds and generally restore a more youthful appearance overall. When combined with facial surgery or laser resurfacing, fillers and Botox can provide truly impressive results.

Additionally, combining Botox with surgery has benefits beyond aesthetic appeal. We frequently recommend that patients, especially those ages 50 and up, get Botox before facial surgery so that the facial muscles are relaxed. This creates less stress and tension on the incisions, resulting in scars that heal more effectively and aesthetically.

Many of our patients have combined Botox and fillers with surgeries such as eye lifts, brow lifts, total face lifts and liposuction of the neck, for beautiful, youthful results.

Schedule a Free Consultation

Read More

Topics: MedSpa, Face

Facial and Dental Rejuvenation: Something to Smile About

Posted by Carey Nease on Jun 8, 2015 11:45:00 AM

InsFEM060sized300Want to look years younger without surgery, boost your self-confidence, and make a great first impression all at the same time? Facial rejuvenation is one sure-fire way to make a big impact without committing to invasive surgery. From treating crows-feet to lip lines, there are many ways your cosmetic surgeon can improve your appearance and subtract years. Some patients decide to take their “new look” a step further, by adding a new smile.

Non-surgical facial rejuvenation and cosmetic dentistry have long been partners in helping patients look healthy and youthful. Thanks to Botox, fillers such as Restylane and Juvederm, and laser skin rejuvenation, Southern Surgical Arts is able to offer numerous options to tighten, smooth and add a healthy glow. We can also add beautiful fullness to thin lips and minimize lip lines caused by aging and sun damage.

However, some of our patients find that they would like to take their facial rejuvenation a step further and correct stained or crooked teeth so that their smile further enhances their appearance.

If you have always dreamed of a movie-star smile, cosmetic dentistry may be the answer. We frequently refer patients who want to improve their smiles to Dr. Drew Shabo. Dr. Shabo is one of Chattanooga’s finest cosmetic dentists and an expert at helping patients achieve the smile of their dreams.

If you’d like to learn more about your options for a more beautiful smile, keep reading for a Q & A with Dr. Shabo!

1. What are the most common concerns you hear from patients during initial consultations?
I would say that most people don't like how dingy their teeth look or how worn and short they appear, due to chipping and cracking.

 2. What are some of your most popular procedures and treatments?
Veneers are the most common way to straighten, strengthen, and whiten a patient’s smile, all while making them look 20-30 years younger!  Typical cost per veneer is $1200-1500.  Anything less than that usually means poor quality of materials, or a dentist that may not be trained in proper technique to preserve the patient's tooth structure.  It all comes down to how a dentist has been trained.  You need to find a dentist that has a long track record of successful conservative veneer cases and not just crown preps.

3. What are some habits patients can incorporate to keep their current smiles as beautiful as possible?
We recommend getting your teeth cleaned every 3 months.  Most patients are led to believe that 6 months is just fine. However, this idea has been generated by the insurance companies to save them money, and not necessarily keeping your mouth as healthy as it should be.  Everyone knows that gum disease is linked to a myriad of health issues.   

4.  How have your patients’ improved smiles impacted their life, beyond just looking more beautiful?
We hear stories all the time of getting a job promotion because of their added confidence, or finding a new love, to just smiling more when they haven't for years.  Their friends typically say that after they got their smile back, they appear happier with life and let their emotions come across their lips with more confidence.

5. What are some common misconceptions you encounter about cosmetic dentistry?
I hear patients say that they don't feel anything can be done to help their smile, or that it can't be made affordable, or that it will take a long time. But we typically do these procedures in just 2 visits about 2 weeks apart, and their smile will look amazing after the first visit!  It is an investment but lasts a lot longer than a new car will, and you get to use it every second of every day!

Get the facts about Facial Rejuvenation Techniques

Read More

Topics: MedSpa, Face

3 Secrets to a Flat Belly after Baby

Posted by Chad Deal on Jun 1, 2015 1:00:00 PM

Tummy_TuckOne of the most universal experiences of pregnancy is the challenge of regaining your pre-baby body. Many women give birth to find that their body does not “bounce back” like they hoped, even months or years after they last gave birth. Even if you did not gain excess weight with your pregnancy, the stretching of skin and muscle that occurs can result in permanent changes to your figure, especially in your abdomen. Below, we list three ways you can regain your pre-baby belly.

  1. Targeted exercise. The cause behind most post-partum pooches is diastasis recti, the separation of the right and left side of the muscles in the area known as the “six pack,” caused by the excess weight the belly is required to carry. When the muscle tissue is stretched, it starts to thin and become weaker and results in bulging. Once this occurs, it can be very challenging to reverse.

    Exercise can help with mild cases, however, common belly-busting moves like planks and crunches can worsen this condition. Your doctor and a physical trainer should be able to point you to exercises and stretches that can help tone and rehab this part of your body.
  1. Tummy Tuck. If your abdominal muscles do not respond to exercise, or your diastasis recti is too severe to be corrected with exercise, a tummy tuck can restore your belly to pre-baby condition…or better. A tummy tuck is also a great way to address excess skin that hasn’t “snapped back” and stretch marks.

    During a tummy tuck, your surgeon will trim away excess skin and sew the muscle tissue back together, creating a firm, smooth surface, not to mention better support for your internal organs. Trimming the excess skin not only removes unsightly, loose skin, but the stretch marks that go along with it. While a tummy tuck will not remove all stretch marks, it will remove a good portion of them.
  1. Liposuction. Whether performed in conjunction with a tummy tuck or on its own (depending on your needs), liposuction can recontour your body, creating eye-catching curves and removing those stubborn fat deposits that pregnancy weight gain has left behind.

    Southern Surgical Arts has recently added an exciting new technology that goes beyond the limits of traditional liposuction. VASERlipo allows a qualified cosmetic surgeon to precisely sculpt your physique and add high-definition contours in the six-pack abdominal area. Depending on your belly’s condition, you may only need a liposuction procedure to achieve your aesthetic goals. However, if you also have a pooch, excess skin, or stretch marks, talk to your surgeon to see if combining Vaserlipo and a tummy tuck is an option for you.

Southern Surgical Arts offers many additional procedures to help you regain your pre-baby body, including skinpen treatments to minimize stretch marks, breast lifts and augmentation to restore fullness and volume to your bust, vaginal rejuvenation and more. We would love to discuss your options with you in a complimentary personal consultation. To make your appointment, please call Southern Surgical Arts at 423-266-3331.

Want to know more about the essentials of an entire Mommy Makeover? View this infographic.

The 3 Essentials of an Attractive Mommy Makeover

Read More

Topics: Mommy Makeover, tummy tuck, Body

Considering Cosmetic Surgery? Get the Photos

Posted by Carey Nease on May 25, 2015 2:00:57 PM

real-or-photoshoppedWhen it comes to having your face or body surgically enhanced it’s important to remember that all cosmetic surgeons are not created equal.

What does that mean?
Even though your surgeon may have the degree and the necessary credentials, it does not necessarily mean he has the skill, technique, equipment or artistry to give you the results you desire. That is why seeing photographic evidence of his surgical outcomes is so important.

The Proof is in the Pictures
A cosmetic surgeon’s before and after picture gallery is an invaluable tool for a patient to use when researching a potential surgeon. A qualified cosmetic surgeon will readily share pictures with you—unretouched, real photos of real patients. And not just 2-3 of his best results, but dozens of them, so you can get a feel not only for his artistry but his consistency.

Another advantage of seeing hundreds of before and after photos is that is illustrates the experience the surgeon has with your particular procedure, and it also increases the chance you will find a “before” patient who looks similar to you or has a similar issue—and you can then see an outcome that may be similar to yours.

Southern Surgical Arts provides more before and after photos on our website than most cosmetic surgeons, and more than any surgeons in our region. We do this primarily because we know these photos are helpful to our patients in their decision-making. But we also do it because we are proud of the level of artistry and skill that we bring to each procedure. We feel the results speak for themselves.

Real Photos…or Red Flags?
When interviewing a cosmetic surgeon and viewing their photo gallery, be sure to ask them if the pictures have been altered or Photoshopped. If the answer is yes, or if they are evasive in their answer, this is cause for concern. A good outcome requires no retouching, and further, retouching photos misleads the patient about the results they can realistically expect.

At Southern Surgical Arts, our number one goal is patient satisfaction. That means not promising more than we can deliver, and not misleading patients. Our photos are 100% natural and unaltered. Dr. Carey Nease and Dr. Chad Deal have performed thousands of successful cosmetic surgical procedures, and this experience is evident in the before and after photos.

If you are considering a surgical procedure, we invite you to check out our before and after gallery. Our database is easy to navigate by the type of procedure, and we offer hundreds of photos for your perusal.

Our board-certified, award-winning cosmetic surgeons welcome the chance to discuss our gallery with you. Please call 423-266-3331 to set up a complimentary personal consultation.

Schedule a Free Consultation

Read More

Topics: before and after gallery

Amazing Non-Invasive Procedures to Try Right Now

Posted by Chad Deal on May 11, 2015 1:30:00 PM

a_-couplewwhitesoftedgehrcroppedbigThanks to today’s technology, you can experience some of the benefits of cosmetic surgery without ever actually having “surgery.”

In the hands of a qualified cosmetic surgeon, patients can have their skin tightened and rejuvenated, cellulite removed and fat melted away, all with no incisions, no anesthesia and little to no downtime. Keep reading to learn some of our favorite non-invasive ways to look younger, firmer and more beautiful.

  1. Exilis. Why do we love Exilis? Many reasons, the most important of which is that our patients love it! Exilis uses radiofrequency energy to penetrate deeply into the skin to deliver thermal heat, which liquefies fat cells and stimulates collagen production at the same time. The end result is less fat and tighter skin.

    We use Exilis to trim waistlines, eliminate stubborn belly fat, slim saddlebags and more. It’s a great option for our patients who would like to have a slimmer silhouette but aren’t quite ready for liposuction. Exilis has also shown promise as a cellulite treatment, though you will get the best results when you combine it with one of our minimally-invasive cellulite-reduction treatments.

  2. Ultherapy. This treatment has been getting a lot of buzz in the beauty world recently—with good reason. Ultherapy is the only non-invasive technology approved by the FDA to lift and tighten skin on the face, neck and décolletage.

    Using ultrasound energy, your cosmetic surgeon can target tissue many layers beneath your skin to stimulate collage production at a deep level. Patients usually only require one session, and within 2-3 months they will see dramatically younger, firmer skin in the treatment area. Ultherapy is an excellent treatment for those who would like to smooth the forehead area, tighten sagging jowls, firm loose neck skin, and more, without committing to plastic surgery.

  3. Laser Skin Resurfacing. We have many options to rejuvenate your skin at Southern Surgical Arts. Two of our favorites are laser treatments—Sciton NanoLaserPeel and CO2.

    The Sciton Laser is one of the most cutting-edge laser skin resurfacing technologies available. During the NanoLaserPeel procedure, your surgeon will use advanced laser technology to precisely remove the damaged upper level of skin to reveal softer, smoother, more youthful skin. Patients can see dramatic results in reducing the appearance of crow’s feet, wrinkles and fine lines, and sun spots.

    The CO2 laser is known as a fractional laser because it treats only a tiny fraction of skin at a time. However, this is a powerful treatment, making hundreds of tiny perforations in the skin to trigger the skin’s own natural healing defenses. The result is dramatically beautiful, tighter, smoother skin.

    Both the NanoLaserPeel and the CO2 laser treatments involve minimal discomfort—mild redness and flushing similar to the feeling of a sunburn—and little to no downtime.

  4. Intense Pulsed Light (IPL). If you have age spots, freckles or cherry moles and red-toned birthmarks, you don’t have to cake on concealer. An IPL treatment may be just the thing you need. Considered the “gold standard” for hyperpigmentation problems, an IPL treatment diminishes redness from broken capillaries, freckling, and age spots.

    IPL treatments use short, carefully-controlled bursts of light, the frequency of which is determined by your specific skin condition. The positive results of an IPL treatment are visible very quickly. Our patients love IPL because the treatments are gentle on sensitive skin and require no downtime.

At Southern Surgical Arts, we believe in having the gold standard treatment appropriate for each skin condition—whether that is laxity, age spots, wrinkles or redness. We have the cutting-edge technology at our disposal to give you the results you desire. If you’d like to learn more about non-invasive options for looking your best, please call us at 423-266-3331 for a free personal consultation.

Schedule a Free Consultation

Read More

Topics: Skin, MedSpa, laser resurfacing

3 Essentials of an Attractive Mommy Makeover

Posted by Chad Deal on May 4, 2015 3:33:00 PM

Many cosmetic surgeons offer a “Mommy Makeover,” a combination of procedures that can restore a mother’s body to pre-pregnancy (or better!) shape. But it takes true artistry to achieve the most beautiful and natural-looking results, as well as to keep the scars as unobtrusive as possible.

The infographic below illustrates the three key essentials necessary for a beautiful Mommy Makeover—the tummy tuck, the breast augmentation (or lift) and liposuction. The infographic also illustrates the scar pattern results you can expect from a typical surgeon, and from one of our surgeons.

Our board-certified, award-winning cosmetic surgeons, Dr. Carey Nease and Dr. Chad Deal, have experience performing these procedures and bring outstanding technical skill and an artist’s touch to every surgery they perform.


Want to see real Mommy Makeover results? Visit our Before and After Gallery and view some examples of our surgeon’s artistry at work.

If you are interested in transforming your body with a Mommy Makeover, please call Southern Surgical Arts at 423.266.3331 to take advantage of a FREE personal consultation with Dr. Nease or Dr. Deal.

Download the full-size Mommy Makeover Infographic

Read More

Topics: breast augmentation, breast lift, tummy tuck, Body

Tummy Tucks: Separating Fact from Fiction

Posted by Carey Nease on Apr 20, 2015 4:26:00 PM

Tummy_TuckThe tummy tuck is one of the most popular procedures we perform at Southern Surgical Arts, but it is also the one that seems to generate the most misinformation and misconceptions. To help alleviate some of the confusion surrounding the tummy tuck, we tackle some of the most common questions we hear, below.

  1. Tummy tucks result in tighter abdominal muscles. FACT! Pregnancy often leaves moms with a permanent “pooch” caused by the separation and weakening of abdominal muscles and connective tissue. This can be difficult (or impossible, in some cases) to correct through exercise alone. During the tummy tuck, your surgeon will not only remove excess, sagging skin, he will repair and tighten your muscles, leaving you with a flat and smooth tummy.
  2. Tummy tucks are weight loss surgeries. FICTION! This is probably the most common misconception we run across during our tummy tuck consultations. The tummy tuck is not a weight-loss surgery—but you can fairly consider it a post-weight loss surgery.

    As the tummy tuck has grown in popularity through the years, it has become closely associated with lap band and gastric bypass procedures. This is because so many patients follow the dramatic weight loss caused by these surgeries with a tummy tuck to tighten loose skin and sagging abdominal muscles.

    While a tummy tuck absolutely will transform and beautify your body in dramatic ways, it will not help or cause you to lose weight. In fact, we recommend that you maintain a stable weight, close to your goal, for several months before your procedure to gain the full benefit of the tummy tuck. Additional weight loss after the surgery may create more loose skin, and weight gain will alter your final results and may detract from your aesthetic goals.
  1. Tummy tucks can eliminate stretch marks. IT DEPENDS… A tummy tuck can eliminate many of your stretch marks, depending on how many you have and where they are located. Chances are you will still have some marks because it will not be possible to eradicate all the stretched skin.

    However, a tummy tuck will dramatically improve the appearance and tone of your skin, minimizing the appearance of any stretch marks that are left. And, you can always choose to further improve the appearance of your stretch marks with micro-needling treatments after you have recovered.

Do you have any questions about tummy tucks that we haven’t covered here? Schedule a FREE personal consultation with Southern Surgical Arts by calling us at 423-266-3331. One of our award-winning surgeons, Dr. Carey Nease or Dr. Chad Deal, will be happy to discuss the procedure with you.

What to expect from Tummy Tuck Scars?


Read More

Topics: Body

Q & A: Saline vs. Silicone Breast Implants

Posted by Chad Deal on Apr 13, 2015 11:30:00 AM

Saline_Or_SiliconeQ. I have wanted to enhance my barely B-cup breasts for a long time. I finally made up my mind to have surgery, but now I don’t know whether to have silicone or saline implants. Which one is better?

A. You can achieve beautiful, natural-looking breasts with both types of implants but there are certain factors to consider when making your decision. Some important facts about your options are listed below.

  • Both saline and silicone implants are safe and FDA-approved. If you have health concerns, rest assured that the FDA has cleared both types for cosmetic and reconstructive surgery, and thousands of women safely get implants every year.
  • Saline implants require smaller incisions. Silicone implants are inserted pre-filled at their full size, and so your surgeon may have to make a larger cut to accommodate them. Saline are empty when inserted, and then filled via tube during the surgery. However, the incisions for both procedures are usually completely hidden even under the smallest of bikini tops.
  • Saline may be better to correct uneven breasts. It is very common to have one breast smaller or larger than the other. If you desire an implant to make a smaller breast match the larger, you may want to opt for saline, because your surgeon can very precisely fill the implant to match your other breast.
  • Silicone feels more natural. When it comes to simple touch, it’s hard to beat the feel of a silicone implant. Many women make the decision based on this factor alone, because the soft feel of a silicone implant is so close to that of a “natural” breast.
  • Silicone looks more natural. Because of the density of the silicone, many women feel that silicone breasts give a more natural appearance, especially when leaning forward.
  • Saline is more natural. Saline implants are made of exactly what they sound like—sterile salt water. Some of our patients feel more comfortable with saline implants as a result. If your implants were to rupture, your body would simply absorb the liquid naturally. However, today’s implants are very unlikely to rupture and silicone implants are safe even if they do crack.
  • Silicone implants are less likely to ripple. Because of the thick, gel-like consistency of the silicone, you are less likely to see rippling or distortion than with saline. However, you can minimize the chances of this happening with saline implants by choosing a board-certified cosmetic surgeon who has successfully performed many breast augmentations.

To determine the best type of implant for you, we recommend you come in for a complimentary personal consultation. One of our award-winning, board-certified cosmetic surgeons, Dr. Carey Nease and Dr. Chad Deal, will discuss your aesthetic goals with you.

We will also share before and after pictures using both types of implants, and address any questions you might have. We are committed to helping you make the right choice to achieve your desired goal. Download the below resource for the top questions about breast augmentation below. Or, too schedule your free personal consultation, please call Southern Surgical Arts at 423-266-3331.

Is Breast Augmentation Right for You?


Read More

Topics: breast augmentation, Breast

Follow Me