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Wrinkles and Fine Lines

describe the imageAt Southern Surgical Arts, we offer a number of different treatment options to address the effects time takes on our skin, including wrinkles and fine lines. Drs. Nease and Deal offer complimentary consultations to customize your treatment plan.

The following treatments are for fine lines and moderate wrinkles:


BOTOX® Cosmetic is a simple, non-surgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows. Botox is administered through a few tiny injections in one 10-minute treatment. Within days, you’ll notice improvements, which can last up to six months. To date, more than 11 million people have been treated with Botox.


Dysport, similar to Botox, is a newly FDA-approved treatment for facial lines and wrinkles. It works by relaxing the facial muscles that pull on the skin creating crow’s feet and lines on the brow.  It is administered through a few tiny injections in one 10-minute treatment. Within days, you’ll notice improvements, which can last up to six months.

We also offer several types of facial fillers to treat more severe wrinkles and loss of volume in the face. Southern Surgical Arts carries Restylane, Juvederm, Radiesse, Sculptra and Perlane. All are safe and proven to work. Drs. Nease and Deal offer complimentary consultations to customize your treatment plan.


JUVÉDERM® is a gel of smooth consistency made of hyaluronic acid—a naturally occurring substance in your skin that gives skin volume and hydration. We use JUVÉDERM® injectable gel by easing it under your skin to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” —the creases that run from the bottom of your nose to the corners of your mouth.

JUVÉDERM® provides a smooth, natural look and feel—so everyone will notice, but no one will know! In fact, studies show superior results of JUVÉDERM® compared to a collagen-based dermal filler. JUVÉDERM® injectable gel is the first FDA-approved hyaluronic acid dermal filler that is proven to be safe and effective for persons of color.


Sculptra Aesthetic is a new type of facial injectable made from poly-L-lactic acid that helps correct shallow to deep facial wrinkles, and folds that appear with aging by gradually replacing lost collagen. The main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades.

Not an overnight miracle, Sculptra Aesthetic takes a different approach to improving lines and wrinkles. Applied through a series of injections over a three-month period, the results build up slowly and can last up to two years!

Sculptra works within the deep dermis, reinforcing your skin's structure to replace lost collagen. This reinforced collagen structure provides a foundation that gradually restores the look of fullness of your shallow-to-deep facial wrinkles and folds that has been depleted over time. The result? Sculptra Aesthetic is different because it gradually and subtly corrects these facial wrinkles. This can provide a refined, more youthful appearance that can last up to two years


Restylane is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as nasolabial folds, the lines between the nose and the corners of the mouth.  It also can be used to enhance lips for a more youthful look.

Restylane is made of non-animal based hyaluronic acid, a natural substance that already exists in the human body and is used to provide volume and fullness to the skin.  Results are instantaneous and last about 6 months.

Restylane is free from animal proteins.  This quality limits any risk of animal-based disease transmission or allergic reaction. Restylane also has the highest concentration of hyaluronic acid available in a dermal filler.

Treatments are typically scheduled twice a year. Having a touch-up treatment before the product has fully dissipated may enhance the lasting effect.

In contrast to Botox, Restylane is a natural cosmetic filler. Botox is a drug that temporarily blocks nerve transmission and relaxes the underlying muscles.  Depending on your goals, your physician may recommend both treatments. 


RADIESSE® Volumizing Filler immediately provides the volume and lift needed to diminish the signs of aging because of the calcium-based microspheres and gel that comprise the product. But what's unique about RADIESSE Volumizing Filler is that it acts as a scaffold under the skin, providing structure and stimulating your own natural collagen to grow. This process continues for several months, which extends the initial effect of RADIESSE Volumizing Filler. Best of all, the natural results are clinically proven to last a year or more in many patients.

Laser technology has advanced to help treat fine line and wrinkles as well. Southern Surgical Arts has the most advanced laser treatments in Chattanooga, North Georgia and North Alabama to provide you with optimal results:

MicroLaser Peel

A MicroLaser Peel uses a scanning erbium laser to remove the outer layers of your skin in a safe and precise manner. We choose the depth of the peel based on your specific skin and how much downtime you can tolerate. We can perform MicroLaser Peels from very gentle to very aggressive, and everything in between.

Unlike earlier lasers, the MicroLaser Peel can be used on the full face, neck, chest, hands, etc. We can also treat smaller areas of need such as the eyes and mouth without the risk of changing the color of your skin. This was not possible with earlier laser technology.

One 10 micron MicroLaser Peel is the equivalent of 4-6 microdermabrasion treatments. You will experience 2-6 days of redness and/or peeling with this procedure depending on the depth. We may recommend anywhere from 1-6 treatments depending on your skin and schedule.

MicroLaser Peels, using the Sciton laser, can be done as a stand-alone treatment, or in combination with other lasers as well. This treatment has become one of the most effective treatments for wrinkles available today.

Profractional Eribum

Over the years, the inevitable signs of ageing appear, caused by exposure to the sun, gravity and changes to our bodies over time. All affect the texture, tone and pigmentation of our skin, often causing unwanted wrinkles and fine lines.

Profractional resurfacing optimizes your treatment outcomes, while reducing your recovery time. We use the laser to apply a series of tiny pulses of laser energy to your skin, revealing younger looking skin and stimulating the production of collagen in your skin.


Dermapen® is an advanced skin micro-needling device that works to tighten, lift and rejuvenate the skin. The unique spring-loaded needle tip of the Dermapen uses an automated needling motion that minimizes pain and discomfort, while better promoting an even absorption of topicals, such as PRP, hyaluronic acid, hydrogenated collagen, Vitamin C and peptides into the skin. The results are youthful looking skin with even tone and texture and down-time of only one day.

Recently awarded “Best Professional Skin Rejuvenation Device” at THE Aesthetic Show 2012, the Dermapen is effective in reducing fine lines and wrinkles, minimizing pore size and acne scars.

At-Home Skincare products

Obagi Skincare:

  • Professional C – Stimulates collagen
  • Elastiderm – Helps replenish elasticity and support collagen growth for tighter, smoother skin
  • Clear – Reduces pigmentation
  • Exfoderm – Increases exfoliation
  •  Blender – To reduce pigment and enhance absorption of Tretinoin
  • Tretinoin – Increases cell turnover


  • Phloretin CF – Prevents premature signs of aging and corrects existing photo-damage
  • CE Ferulic – Protects against free radical damage, stimulates collagen to help prevent and diminish signs of premature aging
  • C + AHA – Reduces the appearance of fine lines and wrinkles, neutralizes free radicals and protects against environmental damage
  • Eye Balm – Rehabilitates aging skin and puffiness
  • AGE Eye Complex – Stops breakdown of collagen and moisturizes
  • Sheer Physical & Physical Fusion Sunscreen – Sun Block
  • C-Serum, Antioxidant – Decreases free radical damage caused by sun
  • Retinol – Increases cell turnover


  • Bio Cream – Anti-aging, Post-procedure
  • Journee – Anti-aging, Antioxidant, SPF in 1 application
  • Lumiere Riche – Super hydrating, Anti-aging, Decreases darkness, Line smoothing
  • Hyalis – Hydrating, Anti-aging, Post-procedure


  • DNA Total Repair – Repairs photo damage (lines, wrinkles, discoloration & evens tone and clarity)
  • Power Defense – Supports collagen production & neutralizes free radicals – firms and decreases the appearance of lines/wrinkles
  • Maximum Body Repair – Nourishes/firms and improves signs of photo damage