The Surgical Artist's Blog

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.



Download How Much Experience  Does Your Surgeon Have? (PDF)

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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

5 Facts about Ear Reshaping

Posted by Carey Nease on Aug 5, 2015 12:58:00 PM

ear-pinning-before-afterThe 10th most common cosmetic surgery procedure in the U.S. is one you might never have heard of: otoplasty. Otoplasty is a surgical procedure that corrects size, shape, and/or placement issues of the ear.

Most of our otoplasty patients come to us with a history of dissatisfaction with their ears that dates back to childhood. Protruding, large, uneven, or misshapen ears can be embarrassing to adults and children alike, and may result in teasing or bullying for school-age children.

The good news is, we can help. Otoplasty, when performed by a qualified and experienced cosmetic surgeon, is dramatically transformative, requires little downtime, and is well-tolerated.

Here are five facts about otoplasty:

  1. It’s not just for adults. While we frequently do this procedure on adults, children as young as five years old may be good candidates for the procedure, after a thorough consultation that includes the parents.
  2. It’s not just for protruding ears. We commonly use otoplasty to correct ears that protrude from the head more than normal, but we can also reshape the contours of the ear, fix large and torn earlobes, address conditions such as “cauliflower ear,” and adjust overall size if needed.
  3. The procedure takes around 1.5-2 hours. Depending on the extent of the correction needed, you can expect your surgery to be completed within two hours or less. In some cases the procedure may even be completed under local anesthesia.
  4. Discomfort is minimal, if any. Otoplasty is generally very easily tolerated, with mild discomfort for a day or two following the procedure that is treatable with over the counter medicines like acetaminophen or ibuprofen.
  5. Results are visible immediately, scars are virtually invisible. In the hands of a qualified, skilled cosmetic or facial plastic surgeon, the scars should be virtually undetectable in the crease behind the ear.

Candidates for otoplasty must meet the following requirements:           

  • Children five years of age and up; any healthy adult
  • Non-smoker
  • Generally in good health
  • Desire ear reshaping (e.g., protruding ears, poorly formed ears, earlobe reduction, earlobe repair or reshaping)

It is very rewarding to see the increased self-confidence level a patient experiences after an otoplasty. Those who have been hiding their ears behind their hair or hats love the new freedom the surgery allows them, and children are excited to show off their “new ears.”

If you or someone you love would benefit from an otoplasty, please contact Southern Surgical Arts at 423-266-3331 for a complimentary consultation. We look forward to answering your questions.

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Topics: Face

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.

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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

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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.

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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

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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

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Topics: Mommy Makeover, tummy tuck, Body

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