The Surgical Artist's Blog

Get the Facts On Rosacea

Posted by Carey Nease on Oct 5, 2015 2:32:00 PM

044_heatherg_081706resize500If you are fair-skinned, experience persistent flushing, have bumps or enlarged blood vessels on the cheeks, nose, forehead, ears, and/or chin, as well as skin thickening and dryness in the affected areas, chances are you may have rosacea. Rosacea is one of the more common skin conditions that we see at Southern Surgical Arts, with more than 16 million Americans currently affected.

Rosacea is a challenging condition as its cause is not yet completely understood. We do know that fair-skinned people are more likely to be affected, and that it can occur at any time but is more likely to be seen in middle age. The condition tends to wax and wane in the early stages, but the symptoms can become more persistent as time goes by. Rosacea is most common in women, but we tend to see the more severe symptoms more commonly in men, such as swelling and lumpiness of the nose.

Another factor that makes treating rosacea a challenge to treat is that many skin treatments and products can be irritating to the skin of rosacea sufferers. For example, we would never recommend a chemical peel to someone with rosacea. It would simply be too irritating to the skin and might cause a flare-up of symptoms.

The good news is that there is an excellent treatment available at Southern Surgical Arts to help minimize the look of rosacea flushing and improve skin texture—the Intense Pulsed Light (IPL) treatment.

We can treat the inflammation, broken blood vessels and inflammation characteristic of rosacea with IPL. An IPL treatment consists of a series of quick flashes of very bright light that breaks down the problem vessels and triggers the body’s natural healing response to remove them. The aesthetician can precisely control the amount of light and the speed of its delivery to suit the needs of your rosacea symptoms.

One of the most important factors in satisfaction with rosacea treatments is to keep your expectations realistic. Unfortunately, there is no cure or perfect remedy for rosacea yet. IPL offers comfortable, gentle, and significant results without irritating the skin or triggering flare-ups.

While IPL cannot erase all of the effects of rosacea or prevent them from coming back, the results do tend to be long-lasting, and can be repeated over time if necessary for maintenance. Our patients have been very satisfied with the improvements to the look and feel of their skin, especially the reduced redness and blotchiness.

If you would like to learn more about IPL for rosacea, please call Southern Surgical Arts at 423-266-3331. Our aestheticians will be happy to answer your questions and get you started on the road to more beautiful skin!

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Topics: Skin, Face

Three Things to Know About Thighplasty

Posted by Chad Deal on Sep 28, 2015 11:12:00 AM

thighplasty-blogAlong with all the high-profile cosmetic surgeries you hear about on a regular basis—face lift, breast augmentation, tummy tuck, and more, there are many other procedures that are less famous but equally worthy of attention. One such surgery is the thighplasty.

A thighplasty is the technical term for a thigh lift. Most people—both men and women—notice a loss of skin tone and tightness as they age, and this affects not only the skin on the face but the entire body. Patients commonly feel dissatisfaction with the skin on their legs due to these changes. Many may feel shy about wearing shorts or skirts, which can reduce comfort and self-confidence. We sometimes recommend a thighplasty for patients who feel dissatisfied with the appearance of their legs and desire a more youthful appearance.

Keep reading for three important facts about thighplasty.

  1. Thighplasty is a great option after bariatric surgery or a large amount of weight loss due to dieting. Many of our thighplasty patients seek us out after gastric bypass or lap band surgery. Gaining and subsequently losing a large amount of weight can contribute to the loss of “bounce back” in the skin, and no amount of exercise can restore that “snap” once it’s gone. Thighplasty is an excellent option for those patients. For best results, you should wait until you are at or very near your ideal weight.
  1. Even if you’re in great physical shape without significant weight loss, you may benefit from thighplasty. It’s a myth that only those who have experienced a large amount of weight loss will need a thighplasty. Even those in great physical condition can experience skin drooping and sagging due to genetics or after years of sun exposure. Patients who have played outdoor sports for years may have excellent muscle tone but still have laxity or “crepey” skin due to advanced aging caused by sun damage. Thighplasty can restore youthful smoothness to the legs.
  1. You might want to combine thighplasty with other procedures to attain the best aesthetic results. We frequently combine thighplasty with liposculpture to create beautiful, firm and shapely contours. Combining these procedures allows us to smooth the exterior of the leg by tightening the skin and also remove excess fat beneath the surface—creating a firmer profile overall. Additionally, some patients may wish to have a cellulite treatment such as CelluSmooth or Cellulaze to achieve the most youthful and attractive appearance possible. In the case of bariatric surgery patients, sometimes a total body lift is necessary to achieve desired aesthetic goals. Your surgeon will advise you on whether combining procedures is an option for you, and if, so how they should be timed/scheduled.

To learn more about thighplasty and whether it is right for you, please call Southern Surgical Arts at 423-266-3331 to schedule a complimentary consultation.

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Topics: Body

We Did It Again…Thanks toYou!

Posted by Southern Surgical Arts on Sep 25, 2015 8:00:00 AM

BOBChatt1st15_-_WEBThe votes are in, and once again, Southern Surgical Arts is a winner in the Chattanooga Times Free Press’ “Best of the Best” awards!

For the sixth year in a row, Dr. Carey Nease has been voted the “Best of the Best Cosmetic Surgeon,” and Dr. Chad Deal is a finalist for the fifth time. While it is always special to get an award, the Best of the Best awards are especially meaningful. We are so happy and grateful to receive these honors, because it shows that our hard work and dedication to excellence has been recognized by the people who matter most, our patients and the community!

You might ask, what sets us apart? Our results speak for themselves. We are committed to combining surgical excellence, cutting edge technology and a high degree of artistry to everything that we do. Our board-certified cosmetic surgeons have performed thousands of cosmetic procedure to hone their surgical and artistic skills. But what really differentiates us is our commitment to creating a satisfying, safe, and enjoyable patient experience.

At Southern Surgical Arts, we want you to feel assured that you are in good hands from the moment you first walk into our doors until your procedure is complete, and beyond. The entire SSA team is committed to achieving this goal—surgeons, nurses, technicians and our friendly office staff. You will never feel intimidated or uncomfortable in our clinic, but welcomed, empowered, and satisfied. Our patients come first, always. That is the “Southern Surgical Arts difference.”

In our state-of-the-art surgical centers we provide an array of “gold standard” tools to achieve the most beautiful results possible from each procedure. We listen to our patients and we do our utmost to help them achieve their desired results. It is our goal to turn your dreams into reality! Perhaps you have been considering a cosmetic procedure but haven’t made the leap. We’d love to answer any questions you might have. Please call us at 423-266-3331 for a free personal consultation.

And, Chattanooga, thank you again for recognizing us in this way. We are so proud to be a part of this great community and we look forward to serving you for many years!

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Lasers & Lights: Learn the Tools of the Trade

Posted by Chad Deal on Sep 21, 2015 12:46:00 PM

One of the many benefits that patients of Southern Surgical Arts enjoy is access to the most cutting edge technology available. Our award-winning, board-certified surgeons, Dr. Carey Nease and Dr. Chad Deal, are committed to obtaining and mastering the “gold standard” technology for each procedure—from skin tightening to laser resurfacing, tattoo removal and more.

This dedication to excellence in training and technology is one of the many features that elevates Southern Surgical Arts above other cosmetic surgery practices.

When it comes to cosmetic surgery, your options are virtually limitless. For every skin condition that exists, there is a targeted therapy or procedure available to address it. At Southern Surgical Arts, we are determined to use the most effective treatment to help you achieve your desired results, because patient safety and satisfaction are our priorities.

For more youthful, rejuvenated skin, we offer a variety of tools to achieve results. Because we have such cutting-edge technology as well as state-of-the-art facilities, our patients can rest assured that each tool is chosen precisely because it will provide the most beautiful results for their particular needs. Patient care at Southern Surgical Arts is highly customized to each individual—never one-size-fits-all.

When it comes to many skin conditions, we frequently rely on “lasers and lights” to provide the results desired. Lasers provide outstanding results in fading spots, reducing hair, tightening lax skin, smoothing texture and overall rejuvenation. Pulsed light therapy can also address common complexion problems such as acne scarring, and pulse dye treatments can correct cherry moles and vascular lesions.

Want to know more about the tools our surgeons use for removing sunspots, reducing wrinkles, resurfacing and tightening skin, fading stretchmarks and more? The infographic below highlights some common skin complaints and the “lasers and lights” needed to achieve the best results in treating these conditions. And, yes, we have them all!

If you’d like to learn more about your options for a particular skin condition, or about your surgical options anywhere from head to toe, please call us at 423-266-3331 for a free personal consultation. We’d love to help you achieve the look you desire.


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Topics: Skin, Face, laser resurfacing, Body

Q & A: Chin Augmentation Surgery

Posted by Carey Nease on Sep 14, 2015 3:58:00 PM

chin-implant-before-afterQ: My husband is so unhappy with the appearance of his jawline because he feels like his chin goes straight into his neck. He doesn’t even like to be in family photos anymore. Are there any options for someone who is unhappy with the shape of his/her chin and jaw line?

A: Yes, there is a great surgical option that is popular with both men and women: chin augmentation. It’s a common misconception that men won’t have cosmetic surgery, but the truth is, we have performed this surgery on many men who were unhappy with their profile. A strong jawline is considered by many to be a sign of masculinity, so it is no surprise that this surgery is very in-demand among men.

During a chin augmentation, or “chin implant” procedure, the cosmetic or facial plastic surgeon inserts a silicone implant into the tissue on the front of the jawbone. The scar is very small and barely noticeable once healed. A chin augmentation is often done in conjunction with liposuction (Smartlipo) of the neck to provide the best definition and contouring. This is especially helpful in men who tend to hold fat deposits in this area.

A chin augmentation is a fairly quick procedure, usually completed in about 45 minutes, and can be done under local anesthesia with light sedation. Your husband can expect some mild discomfort and swelling afterward, but he should be able to resume normal activities within a few days. Results are visible immediately and are permanent but reversible if desired.

A chin augmentation provides a lasting, transformative effect on the face, and on your self-esteem. Our patients find that they feel increased confidence at work and at home—not to mention in family photographs!

If you would like to learn more about chin augmentation, or to schedule a free personal consultation, please call Southern Surgical Arts at 423-266-3331. Our award-winning, board-certified cosmetic surgeons would be happy to address all your questions and concerns. In the meantime, you can view some of our chin augmentation before and after photos in our gallery.

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Topics: Chin and Lip Augmentation, Face

10 Reasons to Love Laser Hair Reduction

Posted by Carey Nease on Sep 7, 2015 2:30:00 PM

womanchairLaser hair reduction has been around for many years now, and continues to be one of the most popular minimally-invasive cosmetic procedures available (in the top five during 2013 and 2014). Our patients at Southern Surgical Arts certainly love it! Below, find 10 reasons you’ll love laser hair reduction, too:

  1. We’ve got the latest technology. Southern Surgical Arts has two types of lasers so that we can customize your treatment as precisely as possible for your desired results and skin tone—even darker skin tones can benefit from hair reduction with no pigment loss.

  2. No shaving bumps! Shaving is notorious for creating irritated skin and ingrown hairs. These bumps are not only unsightly, they can be tender and inflamed. Laser hair reduction does not cause bumps or ingrown hairs.

  3. No stubble. If and when hair grows back in a lasered area, it is typically finer and thinner.

  4. It’s quick. Depending on the area being treated, you can be in and out during your lunch break. An area the size of the average armpit takes less than 2 minutes, whereas an upper lip can be done as quickly as 30 seconds. Even a full back can be done in less than half an hour.

  5. Discomfort is minimal. And, compared to waxing, it’s a LOT more comfortable.  Some of our patients describe it as a sensation of a rubber band snapping  against the skin.

  6. No hyperpigmentation. After several sessions of waxing, it is not unusual to experience  darkening of the skin. This is less than desirable on high-profile places such as the eyebrows or the upper lip. No skin discoloration results from laser hair reduction.

  7. Laser hair reduction can be performed just about anywhere hair can grow. As long as the hair is black or brown, laser hair reduction can be performed anywhere except underneath the eyebrows.

  8. You do not have to grow out your hair for laser to be effective. Unlike with waxing and shaving, hair does not have to be visible for a treatment to be effective. Hair has to be shaved before the treatment.

  9. No more five o’clock shadow. Laser hair reduction works equally well for men and women, and many men enjoy the reduced (or eliminated) look of five o’clock shadow after shaving. Some fair-skinned women also experience a shadow even immediately after shaving, particularly under the arms. After several treatments, you may be permanently shadow-free.

  10. Results are long-lasting! Although no one can guarantee your results will be permanent, many of our patients find that they remain hair-free even years later. Sometimes you will need some follow-up maintenance treatments as time passes, but you will still be dedicating significantly less time to hair ridding yourself of hair than with any other option (not to mention, the savings on razor blades or waxing strips!)

To catch all hair in the growth cycle, laser hair reduction generally takes between six to eight treatments, spaced four to eight weeks apart for maximal results. Additional “touch-ups” may be needed to catch stray hairs.

Are you ready to say goodbye to shaving and waxing, threading and bleaching? To schedule an appointment for laser hair reduction, call Southern Surgical Arts at 423-266-3331.

Read Our Top 10 Questions for Laser Hair Removal


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Topics: Skin, MedSpa

Our Top 5 Skincare Products

Posted by Chad Deal on Aug 31, 2015 10:38:00 AM

One of the greatest myths about skincare is that young adults don’t have to worry about signs of aging, when actually, young adulthood is exactly the right time to start protecting and beautifying your skin! In fact, the younger you are when you begin a sun-protection and skincare regimen, the more benefit to your skin.

One caveat, be careful when choosing your products. There are a lot of options out there for creams, serums, lotions and potions, and it can be hard to know exactly what you need and exactly what you’re actually getting. Below are five of Southern Surgical Arts’ favorite products for protecting, beautifying, and rejuvenating your skin.



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Topics: Skin

Kiss Thin Lips Goodbye

Posted by Carey Nease on Aug 24, 2015 2:00:00 PM

full-lips-restylane-silkFor as many celebrities who are famous for beautifully-full, “bee-stung” lips, there seem to be just as many with “trout pout”—casualties of lip augmentation gone wrong. Actresses like Angelina Jolie, Eva Mendes and Scarlett Johansson have helped to popularize the beauty trend that’s showing no signs of fading—but unfortunately, bad lip procedures seem to be going strong as well. Below are some “dos” and “don’ts” to help you get the most beautiful smile possible.
  1. DO be realistic. Keep in mind that what looks best and feels the most comfortable for you may not be the super-plumped lips you see in magazines. You will be happiest with the outcome if you are realistic about what will work best with your current lip shape and size and surrounding facial features, including your teeth. Sometimes, less is more. Whether you choose to have the fullest pout possible, or ever-so-slightly plumper lips, the end result should be a more youthful, rejuvenated appearance that complements the rest of your face.
  2. DO your research and know your options. Do you want fillers, fat transfer, or permanent lip implants? Know the benefits and limitations of each one.
    • Injectable dermal fillers such as Juvederm and Restylane are one of the most popular methods, as it is a minimally-invasive, quick procedure with results lasting 6-12 months. Fillers can improve the shape and volume of the lips, as well as smooth out fine lines caused by aging or smoking. While fillers are not permanent, this can be a good thing for a first-time patient because you will be able to gauge whether to go bigger or smaller in the future after you have “test-driven” your new smile for a few months.
    • Fat transfer is quickly gaining popularity with cosmetic patients because it is all-natural, using fat harvested from unwanted areas like your thighs. Because the fat must first be harvested and processed, fat transfer takes a bit more time than fillers. Results typically last around three years.
    • Silicone lip implants are an exciting new option in lip augmentation, providing permanent results that are also reversible if desired. Implants are a great option for someone who has enjoyed the look of fillers in the past but desires a more permanent solution. At Southern Surgical Arts, we use PermaLip®, an FDA-approved implant made of soft, solid silicone. To view some of our patients who have chosen implants, view our Before and After Gallery.
  3. DON’T choose a surgeon with limited experience in lip augmentations. When it comes to lip augmentations, the type of procedure you choose may not be as important as the technique of the surgeon performing it. You want a board-certified cosmetic or facial plastic surgeon who has done many lip augmentation procedures and who has an artistic touch—one who will be able to transform your lips in a way that works well with all of your features. Interview your prospective surgeons, asking them about their experience and review some of their before and after photos.
  4. DON’T hesitate to start small. If you want a fuller smile, but are not sure how big to go, how fast, consider starting with fillers first, and adding more in a few weeks or months to get to the profile you desire. This is a great way to dip your toes in the water and ensure a result you’ll love.
  5. DO consider complementary procedures. Rejuvenating your lips with fillers, fat transfer or implants will create a more youthful, rejuvenated appearance. This may be an ideal time to consider other procedures to promote a rested, beautiful appearance, such as laser resurfacing, fat transfer to other sites in the face such as the cheeks or tear troughs, or an eye lift.

If you’d like to learn more about your lip augmentation options, please call Southern Surgical Arts at 423-266-3331 for a free personal consultation. We will be happy to answer all of your questions and help you to choose the solution that best suits your desired outcome and lifestyle.


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Topics: Chin and Lip Augmentation, Face

Experience is Important for Cosmetic Surgery

Posted by Carey Nease on Aug 17, 2015 11:33:00 AM

Choosing a cosmetic surgeon is a decision that can’t be rushed. Once you know that you wish to have a certain cosmetic procedure, it’s time to start researching your options. This may include reading reviews, talking to friends who have had the procedure, meeting with cosmetic surgeons in person for a consultation, and viewing a surgeon’s before and after photos. There are many important questions you should ask prospective surgeons, but the most important may very well be: How much experience do you have with my particular procedure?

When it comes to experience, all surgeons are not created equal. You may find a surgeon who has a considerable amount of expertise in breast augmentation and other body work, but not much experience with facial surgery. Likewise, you may interview an outstanding facial surgeon who has more limited experience with the Brazilian Butt Lift or thighplasty.

Award-winning, board-certified cosmetic surgeons, Dr. Chad Deal and Dr. Carey Nease, bring a wealth of experience in diverse procedures to Southern Surgical Arts, and they have hundreds of satisfied patients to prove it. Please view the infographic below to see how their experience in a range of cosmetic procedures stacks up to the national average of cosmetic surgeons in the United States.



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Topics: Board Certified Cosmetic Surgeon

Benefits of Lymphatic Massage after Lipo

Posted by Chad Deal on Aug 10, 2015 3:36:00 PM

Vaser-Hi-Def-logoVASERlipo® is one of the hottest treatments in cosmetic surgery right now, due its unique ability to create high-definition contours through precise, selective fat removal. With this cutting-edge technology, a qualified cosmetic surgeon can even eliminate stubborn fat pockets to reveal six-pack ab muscles.

Many of our patients are finding that there is a way to get even more beautiful results from this procedure—following it with a lymphatic massage.

What is Lymphatic Massage?

A lymphatic massage is a specialized procedure that helps the lymph system work more efficiently. Specifically when done following surgery, the treated area is given special attention to speed up recovery and provide smoother results. There are many benefits to lymphatic massage. It:

  1. Reduces swelling and helps prevent fluid collection
  2. Promotes the flushing of toxins
  3. Prevents the formation of scar tissue and fibrosis
  4. Improves circulation of blood and lymphatic fluid
  5. Stimulates wound healing
  6. May reduce discomfort

After a procedure like liposuction, tissue can produce excess lymphatic fluid as the body reacts to the traumatic action of the insertion of cannulas and removal of fat.

Even with less intrusive procedures, some patients may experience a degree of tissue disruption, leading to an accumulation of excess fluid, called edema. In some cases, pockets of fibrosis may form, leading to hardened areas of scar tissue.

During lymphatic massage, a qualified massage therapist gently manipulates the skin and underlying tissues in the areas of lymph production to increase circulation and promote drainage and healing.

The massage itself tends to be gentle and light, and should be a relaxing and comfortable procedure for the patient. Additionally, the reduction in discomfort and swelling immediately afterwards makes a lymphatic massage an even more pleasurable experience.

While lymphatic massage is not required to achieve beautiful results from VASERlipo, or any liposuction procedure, some patients find that it helps them heal more quickly and makes their full results visible more speedily.

A general recommendation is to have three to five massage treatments, but some patients may experience benefits from as few as one to two treatments. Your cosmetic surgeon can advise you as to whether lymphatic massage will benefit you following your liposuction or other surgical procedure.

If you would like to learn more about VASERlipo, post-surgical healing, or your options regarding cosmetic surgery in general, please call Southern Surgical Arts at 423-266-3331. Our board-certified, award-winning cosmetic surgeons, Dr. Carey Nease and Dr. Chad Deal, will be happy to answer your questions.

Is VASERLipo right for you?



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Topics: Liposuction, Body

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