The Surgical Artist's Blog

Introducing Kybella: Love Your Chin

Posted by Carey Nease on Nov 30, 2015 9:00:00 AM

KybellaPatientPRI3BeforeAfterSideView.pngIt’s always exciting to announce a new product or technology at Southern Surgical Arts. We love adding the latest and greatest innovations in cosmetic surgery so that we can continue to provide the cutting-edge, beautiful results that our patients have come to expect from us. And now we are pleased to introduce Kybella!

Kybella is a deoxycholic acid injection, approved by the Food and Drug Administration to eliminate the fat cells under the chin area. This area of submental fat—frequently referred to as a “double chin”—is one of the most common complaints we hear from both male and female patients. Even slender people may be troubled by stubborn fat pockets beneath their chin that don’t respond to weight loss or facial exercises.

Kybella is so revolutionary because liposuction and other surgical procedures were previously the only options for eliminating this stubborn fat. Kybella allows us to offer our patients a non-invasive remedy that requires no anesthesia and no downtime—an excellent alternative for those who aren’t ready to consider surgery.

Deoxycholic acid is a naturally-occurring molecule in the body that works to break down fat in the digestive tract, making it a safe and effective treatment.

Kybella is best used to treat a moderately large double chin. If you have a severe amount of submental fat, your cosmetic surgeon may recommend a liposculpture procedure instead or possibly even a facelift. Your cosmetic surgeon will assess your skin tone and condition to determine if your double chin is caused by submental fat or due to your facial structure, sagging, or other causes, because Kyeblla will not be effective in these cases.

Most patients see significant improvement within just two to three sessions, but some may need as many as four to achieve their desired goals. Clinical trials have shown that 90% of patients still maintained a significant improvement in fat reduction two years post-treatment.

Although Kybella is a safe and non-invasive procedure, you will still need to choose your cosmetic or facial plastic surgeon carefully. This area of the face is filled with important structures and an inexperienced practitioner can cause a problem if it is injected incorrectly. The most common side effects are mild swelling, bruising and temporary numbness of the skin.

If you’re ready to say goodbye to your double chin, please call Southern Surgical Arts at 423-266-3331 for a complimentary personal consultation. Our award-winning, board-certified cosmetic surgeons will determine whether you are a candidate for Kybella. We’re happy to have a new treatment to offer our patients, and we know you’ll be happy when you see the results!

Schedule your  Kybella consultation

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Topics: MedSpa, Face

5 Fixes for Laugh Lines

Posted by Chad Deal on Nov 16, 2015 2:19:22 PM

Laughter may be good for the soul, but it’s not always so beneficial for our faces. As you age, collagen and elastin in the nasolabial folds begins to break down, eventually leaving lines around the nose and mouth that mimic the creases made when smiling. Laugh lines are also evident at the corners of your eyes. At first you may only see these tell-tale eye creases when smiling and laughing, but over time they will be present regardless of your facial expression. While everyone loves a bright smile and a happy expression, it can be distressing to develop lines that don’t reflect how youthful you feel on the inside.

If your laugh lines have you down, keep smiling! There are several ways to improve the look of existing lines and prevent new lines from cropping up—or at least slow down their development—without a face lift.

  1. Don’t smoke. Everyone knows smoking can be damaging to your health, especially to your lungs and heart. What people don’t know is that it is also bad for your skin, and can even cause premature aging by negatively affecting the blood supply to your skin. This leads to skin laxity and an increase in wrinkles and fine lines, especially around the mouth. Quit smoking and your body will love you for it—inside and out.
  2. Wear sun protection. You should never leave the house without wearing sunblock of at least SPF 30. If you can add a hat and sunglasses, even better. Sunblock will protect your skin from damaging, aging rays, and sunglasses will help you avoid those telltale “squint” lines around your eyes (which look just like laugh lines). Best of all, you will greatly reduce your chances of developing skin cancer.
  3. For the softest, dewiest skin, invest in a collagen-rich moisturizer and night cream, or a treatment with retinoids to boost your skin’s thickness and elasticity. While topical treatments won’t remove nasolabial folds, they can reduce the appearance of fine lines and help your skin to look plumper and better hydrated.
  4. “Fill ’er” up! Facial fillers like Juvederm and Restylane can make a dramatic impact in improving the look of nasolabial folds. Add some Botox to reduce the appearance of fine lines and smooth out wrinkles and your face will look much more youthful and rejuvenated. Your cosmetic surgeon will choose the appropriate filler for your needs and desired goals.
  5. Fat transfer. Taking “reusing and recycling” to the next level, a skilled cosmetic surgeon can transfer fat from somewhere that you don’t want it (thighs, lovehandles, etc) to somewhere that you do—anywhere on your face where hollowing, volume loss, or line development has become a problem. Fat transfer is all-natural with little to no discomfort and no scarring. Your cosmetic surgeon will assess your skin’s tone and condition to determine if fat transfer is a good solution for you.

Ready to start smiling with confidence again? Call Southern Surgical Arts for a complimentary personal consultation with one of our board-certified, award-winning surgeons, Dr. Carey Nease and Dr. Chad Deal. You can reach us at 423-266-3331 to schedule your appointment.






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Topics: Skin, Face

Things Are About to Get Hairy: Introducing No-Shave Nooga

Posted by Chad Deal on Nov 9, 2015 2:00:00 PM

Giving back has always been an important goal here at Southern Surgical Arts. We contribute to our community in a variety of ways all year, including the Ignite Red campaign with the American Heart Association, in which we helped raise money for women’s heart health. This November, we are excited to introduce No-Shave Nooga!

Inspired by No-Shave November, participants in No-Shave Nooga will forego haircuts, shaving, and other types of “manscaping” during the month of November to raise awareness about cancer and raise funds for cancer prevention and education. We came up with No-Shave Nooga because we wanted to keep funds local and make a positive impact in our hometown.

Why This Cause?

We wanted to participate in a No-Shave fundraising event because cancer affects all of us. Four out of 10 people will be diagnosed with some form of cancer during their lifetime, and all of us already have a close friend or family member who has been affected. Additionally, because Ignite Red focuses on women’s heart health, we were excited about an opportunity to focus on how men can make a difference as well.

Which Charities Will I Be Helping?

There are several organizations leading the fight against cancer on a daily basis right here in Chattanooga. These are the ones your dollars will be helping:

What do I do?

You can participate in No-Shave Nooga simply by embracing your inner scruffiness. Grow a beard, grow a mustache, or just grow out your haircut. You can donate the money you save to the No-Shave Nooga cause, where it will be used for cancer education and prevention efforts. Get your friends and family to do the same! Here’s how:

  1. Join as an individual and sign up online at You don’t have to restrict your giving to just the haircut money you save. You can pledge any amount at all!
  2. Encourage your organization, workplace, church group, etc to sign up as a team. Make an online pledge of $10 and designate a team name and leader. You’ll get an information packet and everything you need to start taking pledges from your friends and family.
  3. If you can’t quit grooming due to your workplace’s dress code, don’t worry. You can participate in our community-wide Shave Off on Nov. 22, with all proceeds going to support our charities. No-Shave Nooga participants will be offered a clean shave or haircut, and you can be included for a small $10 donation.

Participants are encouraged to track their progress on Twitter, Instragram, and Facebook with the hashtag #NoShaveNooga. We would especially like to see your before and after pictures so we can track your progress. At the end of the campaign, the participants with the best mustache and longest beard will win a $350 men’s spa package from SSA.

Please join us in this “fun”draiser for local cancer charities! A good time will be had by all, and some great charities will benefit. To learn more, visit us at

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Topics: In The News, Community

5 Reasons Our Patients Consider Rhinoplasty

Posted by Carey Nease on Nov 2, 2015 3:25:00 PM

According to statistics from the American Society of Plastic Surgeons, rhinoplasty, or nose reshaping, has been the #2 most popular cosmetic surgery for the past five years. Rhinoplasty is popular among both men and women because it can be a significant change for the better on just about any face. Thanks to advancements in technology and surgical technique, today’s “nose jobs” are virtually undetectable and blend naturally with your other facial features.

We have performed more than 600 rhinoplasty procedures here at Southern Surgical Arts. During that time, we have noticed several common motivations for patients to seek out a nose reshaping procedure.

Based on what we’ve heard from our patients, you might consider a rhinoplasty if:

  1. You’ve always wanted a smaller/straighter/more refined nose. This is a common complaint among our patients. Many of them have been dissatisfied with the shape, size, or profile of their nose since their teen years. For these patients, a reduction in the size of their nose or refinement of the tip does a lot to boost their self-confidence.
  2. Your nose was broken and never regained its original appearance. With today’s active lifestyles, it’s no surprise that we see a lot of noses that were broken once and did not heal as attractively as desired. Rhinoplasty done for this reason can restore a once-loved nose back to its original beauty—or even better!
  3. You had a previous rhinoplasty and were dissatisfied with the results. Sadly, this is fairly common. Whether because the surgeon did not have enough experience or overpromised on the results, the patient changed their mind over time, or the nose healed poorly, we have seen many patients who seek help to remedy a bad rhinoplasty. Fortunately we can usually provide them with an improved appearance and satisfactory results.
  4. You have difficulty breathing through your nose. Nose procedures are not always performed solely due to aesthetics. Sometimes a patient experiences breathing trouble and is tired of feeling chronically congested, sleeping poorly, and snoring due to a deviated septum or enlarged turbinates. The interior structure of the nose can be corrected by a qualified facial plastic surgeon. Some patients choose to beautify their nose at the same time that their surgeon corrects their breathing issue—two benefits in one surgery.
  5. You’ve seen a nose on someone else that would look attractive on your face. We have seen this motivation increasingly over the past few years. Some of the most commonly-requested noses belong to celebrities such as Kate Middleton, Kate Beckinsale and Scarlett Johannson. But it’s important to remember that no matter how beautiful a nose may look on someone else, it may not be the right shape or size to pair with your facial features. A good surgeon will be honest with you about what you can and should realistically expect.

Rhinoplasty surgery has the power to significantly impact your facial features. This can be a good thing, or a very bad one, depending on the skill, talent, and education of the surgeon you choose. Make sure you choose a board-certified cosmetic or facial plastic surgeon who has experience performing many of these procedures and can show you unretouched before and after photos.

Our before and after gallery can be viewed on our website at your convenience. Our board-certified, award-winning surgeon, Dr. Carey Nease, will be happy to discuss a rhinoplasty with you. To schedule a complimentary consultation, please call 423-266-3331.

  Dr. Nease on Nose Reshaping Surgery


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Topics: Nose Reshaping, Face

5 Ways to Get Ready for Holiday Photos

Posted by Carey Nease on Oct 12, 2015 2:00:00 PM

Summer flew by and now the holidays are just around the corner. Before we know it, it will be time for holiday shopping, dinners, and parties, not to mention endless rounds of family photos and maybe even a few festive selfies. While it’s fun to look back over photos from previous years, it can also be a reminder of changes we don’t always enjoy seeing.

Spa & Skin TreatmentsIf you want to put your best face forward in your holiday photos this year, we can help. Keep reading for five ways Southern Surgical Arts can help you look more youthful and rejuvenated, just in time for your next close up!

  1. Botox and fillers. Well-loved because they are non-invasive, relatively painless, affordable and provide natural-looking results, Botox and fillers such as Juvederm and Restylane are our go-tos all year long when our patients want a quick beauty boost with no downtime. Botox minimizes fine lines in the brow and forehead area as well as crow’s feet, and fillers plump out hollowed spots in the cheeks, tear troughs, and lip area. Both fillers and Botox subtract years while adding a rejuvenated, healthy glow.
  1. Chemical peel. Want smoother, healthier, more youthful looking skin in 20 minutes? Try a chemical peel. During your peel, your aesthetician will apply a special chemical solution that will remove the damaged, upper layer of skin to create a more radiant appearance. Within 3-5 quick treatments (you can do them on your lunch break!), your skin will look much more youthful and rejuvenated.
  1. IPL treatment. Also known as a photofacial, an IPL (intense pulsed light) treatment can tackle age spots, broken capillaries, rosacea, acne scars and other signs of sun damage and aging. You may see an improvement with just one IPL treatment, but we generally suggest a series of 3-5 to achieve your desired goal.
  1. Laser face lift. If you would like more dramatic results than the above options can provide, but are not yet ready for a surgical face lift, you might want to consider a laser facelift. With powerful lasers, your surgeon can target both the surface of the skin as well as underlying fat and muscle to smooth texture and minimize or erase wrinkles, fine lines, sun spots and other signs of aging, and tighten the skin. A laser face lift can be done in under an hour with no scars and less than a week of recovery time.
  1. Eye and brow lift. An eye and brow lift can dramatically transform a face that is showing signs of aging through sagging skin and loss of elasticity around the forehead and eyes. Sometimes the skin of the upper eyelid can even interfere with vision when it has reached a certain stage of droopiness. Deep lines etched into the forehead can be hard to correct with other treatments and are frequently a source of dissatisfaction for our patients. We frequently perform a brow lift in conjunction with a blepharoplasty (eye lift) to achieve the most youthful, desirable results. A qualified cosmetic or facial plastic surgeon can assess your individual condition, skin tone and texture to determine the best treatment course for your needs and goals.

If you’re interested in learning more about your beauty options, please call Southern Surgical Arts at 423-266-3331 for a free personal consultation. We’re here to help you feel you more confident in this year’s holiday photos, and beyond! Learn more about our upcoming community, educational and Southern Surgical Arts' sponsored events by clicking the link below.

  View Upcoming Events

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Topics: Skin, Face

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.

Schedule a  thigh lift 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

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