Procedures

Drs. Chase, McCord, and vonWerssowetz offer a wide range of surgical & non-surgical procedures

Considering plastic or cosmetic surgery? It is natural to ask yourself, what if?
What if I changed something? What if I had a surgical procedure? Such questions are common.

At Associates in Plastic Surgery we are committed to providing experienced, compassionate, and quality care for all of our patients.

Click below to learn more about our surgical and non-surgical services. And visit our GALLERY to see before and after pictures.

Breast Reconstruction

Breast Reconstruction is achieved through several reconstructive plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy and may include flap techniques that reposition a woman’s own muscle, fat and skin to create or cover the breast mound, tissue expansion that stretches healthy skin to provide coverage for a breast implant, surgical placement of a breast implant to create a breast mound, and grafting and other specialized techniques to create a nipple and areola.

While breast reconstruction can effectively rebuild a woman’s breast, it will not have the same sensation and feel as the breast it replaces. Visible incision lines will always be present on the breast, whether from reconstruction or mastectomy. In addition, flap techniques will leave incision lines at the donor site, common ly located in less exposed areas of the body such as the back or abdomen. A TRAM flap (transverse rectus abdominus myocutaneous) uses donor muscle, fat and skin from a woman’s abdomen to reconstruct the breast. A latissimus dorsi flap uses muscle, fat and skin tunneled under the skin and tissue of a woman’s back to the reconstructed breast. A breast implant can be an adjuct or alternative to flap techniques.

Reconstruction with an implant alone usually requires tissue expansion. An expander placed beneath the chest muscle is filled with sterile saline solution over many weeks, creating enough healthy tissue to cover the breast mound. Once filled, the expander forms the breast mound, or it is surgically replaced with an implant. Initial healing from breast reconstruction will include swelling and discomfort at the donor site for flap techniques. Breast reconstruction is performed in an outpatient setting under general anesthesia.

Breast Reduction

Breast reduction is a surgical procedure to reduce the size of large pendulous breasts that are disproportionate to a woman’s body and can cause physical pain. A breast reduction reduces the breast size, improves shape, and reduces symptoms including back, neck and shoulder pain. Some health insurance companies cover breast reduction. This can vary depending on the amount of tissue that needs to be removed, patient’s symptomatology, and various health insurance criteria.

Breast reduction reduces the size and improves the shape and position of overly large, pendulous breasts through the surgical removal of excess breast fat, tissue and skin. This includes repositioning the nipple and reducing the size of the areola if necessary. The most common incision used for breast reduction is the keyhole pattern. This begins around the areola, continues vertically down the breast and then horizontally along the crease under the breast. Although permanent, incision lines are scars that usually fade and improve in appearance over time. Breast reduction is generally performed in an outpatient setting under general anesthesia. Arm movement is limited the first few days, and most people are resuming normal life activities in approximately 14 days.

Breast Lift

Breast lift, technically called mastopexy, is a surgery to uplift and improve the shape of a female breast that sags or is pendulous, has lost firmness, and has stretched skin and an enlarged areola. Incision patterns for a breast lift are determined based on the amount of excess skin, skin elasticity, and degree of lift necessary to achieve realistic goals. The incisions may include a circle around the areola, a line extending down the lower portion of the breast from the areola to the crease underneath the breast and a line along the crease under the breast.

Once the excess skin is removed, the breast tissue is reshaped and lifted, and the remaining skin tightened as the incisions are closed. Incision lines are permanent, but in most cases will fade and significantly improve in appearance over time. Surgery is performed in an outpatient setting under general anesthesia. Swelling and discomfort is common, but can be controlled with medication. Use of the arms is limited the first few days, but most people can generally return to normal activities within 7-10 days.

Breast Augmentation

Breast augmentation is the surgical placement of breast implants to increase fullness and projection of the breasts or to improve symmetry of the breasts. In general, it is a cosmetic procedure strictly performed to fulfill your personal desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy.

Your plastic surgeon performs breast augmentation using implants made of a silicone shell filled with saline solution. Should the implant rupture or leak, the saline is safely absorbed by the body and poses no health hazard. Implant placement, type and size will be determined based on your breast anatomy, body type and desired increase in size, as well as your plastic surgeon’s judgment. Breast implants have not been shown to impair breast health. However, breast implants are not guaranteed to last a lifetime and maintenance is required. This includes mammograms and possibly replacement of one or both implants over the course of the patient’s lifetime.

Incision sites include infra mammary (near the crease under the breast), periareolar (in the pigmented skin around the nipple), or transumbilical (through the navel). Incision patterns vary based on the type of implant, degree of enlargement desired, patient anatomy, and patient and surgeon preference. Through the incision a pocket is created usually directed beneath the pectoral muscle (submuscular).

Breast augmentation is performed in an outpatient setting under general anesthesia.

Nose Surgery

Cosmetic surgery of the nose, or rhinoplasty, is a procedure to improve the appearance of the nose. Specific features addressed in cosmetic surgery of the nose, and strictly for appearance enhancement include nose size, width, profile, nasal tip, nostrils that are large, wide or upturned, and nasal asymmetry. These features are generally caused by heredity, however they can be caused by injury. When nose surgery is performed to improve breathing function, the cause is most commonly an obstructed airway. This procedure, whether performed alone or in conjunction with cosmetic surgery of the nose, is considered reconstructive and may be covered by insurance.

Nose surgery is performed usually using a closed procedure, where incisions are hidden inside the nose. Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose. Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of the body. Once the underlying structure of the nose is sculpted to the desired shape, nasal skin and tissue is redraped and incisions are closed. Additional incisions may be placed in the natural creases of the nostrils to alter their size. Splints and packing will likely support the nose as it begins to heal.

While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines a more permanent outcome. Initial healing may include some swelling, bruising, headache and discomfort that can be controlled with medication and cole compresses. A return to light, normal activity is possible as soon as you feel ready, usually within a few days of surgery.

Brow Lift

A brow lift is a plastic surgery procedure to improve the appearance of the facial region between the upper eyelids and the scalp, extending to the temples. The procedure improves low placement or sagging of the brows, and minimized the appearance of lines and creases in the forehead. These conditions may be due to heredity or can be attributed to the natural aging process.

Also known as a forehead lift, a brow lift can:

  • Raise the eyebrows to a more alert and youthful appearance
  • Minimize creases that develop across the forehead, or high on the bridge of the nose
  • Improve “frown lines”
  • Reposition a low or sagging brow

A brow lift may sometimes be performed using an endoscope and special instruments placed through small incisions made within the hairline. This allows the tissue and muscle beneath the skin to be repositioned, altered or removed, correcting the source of visible creases and furrows in the forehead. Initial healing may include some swelling, numbness and discomfort that can be controlled with medication. An itchy scalp, particular at the incision sites, is also common.

Eyelid Surgery

Cosmetic eyelid surgery, technically called blepharoplasty, is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both. Eyelid surgery can treat sagging skin that creates folds, excess skin that hangs down, excess fatty deposits, bags under the eyes, droopiness of the lower eyelids, excess skin and fine wrinkles of the lower eyelids. Droopy conditions of the upper eyelid can be corrected through eyelid surgery.

Treatable conditions:

  • Upper eyelid surgery can remove excess fatty deposits that appear as puffiness in the upper eyelids.
  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision, can be treated by eyelid lift surgery.
  • Lower eyelid blepharoplasty can remove excess skin and fine wrinkles of the lower eyelid.
  • Bags under the eyes can be corrected by blepharoplasty.
  • Lower eyelid surgery can correct droopiness of the lower eyelids, showing white below the iris (colored portion of the eye).

Conditions of the lower eyelid may be corrected using a transconjunctival incision, one hidden inside the lower eyelid. Through this incision, fat is redistributed or some fat may be removed, and sagging muscles are tightened. An incision just below the lower lash line is an alternate technique allowing for correction of lower eyelid conditions and removal of excess skin in the lower lid. The incision lines from eyelid surgery are well concealed within the natural structures of the eyelid region.

Results appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance. Initial healing may include some swelling, bruising, irritation or dry eye and discomfort that can be controlled with medication, cold compresses and ointment. A return to light, normal activity is possible as soon as you feel ready, usually within a few days of surgery.

Face Lift

A facelift, technically known as rhytidectomy, is a surgical procedure to improve visible signs of aging in the face and neck. Sagging in the midface can create a deep crease below the lower eyelid and between the nose and mouth that may make you appear tired and sad. Fat that has fallen or is displaced and loss of muscle tone in the lower face may create jowls. Loose skin and excess fatty deposits under the chin and jaw can make even a person of normal weight appear to have a “double chin.”

A facelift is designed to correct all of these aging features, restoring a more youthful, rested appearance with uplifted contours and improved tone in facial skin and underlying muscle. Where desired improvement can be isolated to the mid-facial region and where excess skin is less a factor, a limited incision lift may be an alternative to a traditional facelift. Facelift incisions often begin in the hairline at the temples, continue around the ear and end in the lower scalp. Fat may be sculpted or redistributed from the face, jowls and neck, and underlying tissue is repositioned. Skin is re-draped over the uplifted contours and excess skin is trimmed away. A second incision under the chin may be necessary to further improve an aging neck. Once healed, the incision lines from a facelift are well concealed in the natural contours of the face and ear. The visible improvements of a facelift appear as swelling and bruising subside.

Your final result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself. Initial healing will include swelling and may include numbness and discomfort that can be controlled with medication. Your skin will likely look bruised or discolored. In addition, facial movements may be temporarily restricted. These are common conditions. For the most part, most people are returning to normal daily activity within 2 weeks.

Abdomen Liposuction

The abdomen is the most common area of the body to be treated by liposuction among both men and women. Important factors that affect the success of abdominal liposuction include: the amount and location of abdominal fat, history of weight gain and weight loss, history of pregnancy, and the age and the sex of the patient.

Common reasons to receive abdomen liposuction

  • Previous pregnancy
  • C-section bulge
  • Prior obesity

Prior to deciding to do liposuction, the patient is evaluated by the surgeon to determine if there are any health problems that might increase the risk of surgical complications. For more information, contact us directly at 423.624.0021.

Tummy Tuck

Tummy tuck, or abdominoplasty, is a common term for the surgical procedure to correct a protruding or loose, sagging abdomen. Areas to be treated may include the center of the abdomen or may extend to the entire area between the lower rib cage and pubic bone, as well as to the sides and back.

A full tummy tuck requires a horizontal incision in the area between the pubic hairline and navel. The shape and length of the incision will be determined by the degree of correction necessary. Through this incision, weakened abdominal muscles are repaired and excess fat, tissue and skin is removed. A second incision around the navel may be necessary to remove excess skin in the upper abdomen. Incision size is largely dependant on the amount of excess skin to be removed. Where correction is isolated to the area below the navel, a limited or mini tummy tuck with a shorter incision at the pubic bone may be recommended.

A tummy tuck results almost immediately in a flatter, firmer abdominal contour that is more proportionate with your body type and weight. The final results may be initially obscured by swelling and your inability to stand fully upright until internal healing is complete. Within a week or two, you should be standing tall and confident about your new slimmer profile.

Inner/Outer Thigh Lift

A thigh lift reshapes the thighs by reducing excess skin, and in some cases fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body. When performing the lift, a surgeon may remove either medial (inner) thigh skin or outer (lateral) thigh skin.

If fitness and weight loss efforts have not helped achieved your goals, a surgical thigh lift may be right for you.

Good candidates for a thigh lift include:

  • Individuals whose weight is relatively stable
  • Individuals with excess soft tissue along the inner or medial thigh region and/or the outer thigh
  • Healthy individuals who do not have medical conditions that can impair healing or increase risk of surgery
  • Individuals with a positive outlook and realistic goals for what the surgery can accomplish
  • Individuals committed to leading a healthy lifestyle including proper nutrition and fitness.

The best way to determine if you are a candidate for this procedure is through a consultation with a plastic surgeon at Associates in Plastic Surgery.

Arm Lift

Associates in Plastic Surgery offers an array of body contouring surgery solutions to help increase your confidence and restore your beauty.

An arm lift, or brachioplasty, is a surgical procedure that reshapes the under portion of the upper arm, from the underarm region to the elbow.

Fluctuations in weight, growing older and even heredity can cause your upper arms to have a drooping, sagging appearance. If the underside of your upper arms are sagging or appear loose and full due to excess skin and fat, an arm lift may be right for you.

An arm lift is performed to:

  • Reduce excess skin and fat between the underarm and the elbow
  • Reshape your arm to result in smoother skin and contours
  • Result in a more toned and proportionate appearance

Liposuction

Liposuction is the surgical removal of localized or regional excess fatty tissue. There are common variations to the procedure including traditional liposuction, tumescent technique that requires infusion of saline solution, and ultrasound assisted lipoplasty or UAL, where ultrasonic energy is used to liquefy excess fat prior to surgical suctioning. These techniques may be used to reduce localized fat deposits of the chin, upper arms, back, abdomen, hips, thighs, and inner knees. In some cases, liposuction is performed alone, in other cases it is used with plastic surgery procedures such as a tummy tuck.

Liposuction is not a treatment for obesity or a substitute for proper diet and exercise. It is also not an effective treatment for cellulite. Liposuction can, however, permanently reshape body contours where excess fat deposits create areas that are disproportionately large in an otherwise balanced figure.

Liposuction is performed through small, inconspicuous incisions that are hidden within the natural creases and contours of the body. A thin hollow tube, or cannula , is inserted through these incisions to loosen excess fat using a controlled back and forth motion. The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula. Your improved body contour will be apparent once swelling and fluid retention commonly experienced following liposuction subside.

With continued practices of healthy diet and fitness, the loss of excess fatty tissue should be permanently maintained. However, substantial weight gain can alter an otherwise permanent result. Initial healing will include swelling, numbness, soreness, bruising, and discomfort that can be controlled with medication. In general, a return to light, normal activity is possible as soon as you feel ready, typically within 5 to 10 days.

Dysport

Dysport is an injectable that blocks nerve activity in the muscles, causing a temporary reduction in muscle activity. It can be administered in the face and neck areas and is commonly used to treat crow’s feet, wrinkles in the forehead, and wrinkles around the eye area. NOTE: You will not see a difference in results by using BOTOX or Xeomin and then switching to Dysport.

Xeomin

Like Botox, Xeomin is a prescription injection for temporary improvement in the look of moderate to severe frown lines between the eyebrows (glabellar lines). With just 1 injection into each of 5 points between and over the eyebrows, Xeomin blocks the signal from the nerve to the muscles, ultimately resulting in a reduction of muscle activity and temporarily preventing contraction of the muscles that cause frown lines. You should not be treated with Xeomin more frequently than every 90 days. Treatment with prescription Xeomin can temporarily improve the look of your moderate to severe frown lines. Treatment generally takes just 10 to 20 minutes.

Botox

Botox is a simple, non-surgical procedure that temporarily improves the appearance of moderate to severe frown lines between the brows and crow’s feet area. During treatment, very low doses of Botox are administered via a few tiny injections directly into the muscles, blocking the chemicals that cause facial muscles to contract, thereby relaxing them. Botox is safe and quick with minimal discomfort and no downtime. You can expect to see results within days after your treatment. Visible results have been shown to last up to 4 months.

Associates in Plastic Surgery, Drs. Chase, McCord and vonWerssowetz are Chattanooga’s premier cosmetic surgeons for BOTOX.

Perlane

Just like Restylane, Perlane is a dermal filler that adds volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Like Restylane, Perlane is a clear gel formulation of hyaluronic acid that is specifically formulated to add volume like your body’s own hyaluronic acid.

Restylane

Restylane is a facial filler that adds volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane can also add fullness and definition to lips in patients over 21 years, providing natural-looking and lasting results with just one treatment. Restylane works immediately by adding volume to smooth away wrinkles. A clear gel formulation of hyaluronic acid, Restylane is specifically formulated to act like your body’s own hyaluronic acid. So, you can use Restylane to visibly reduce moderate to severe facial wrinkles and folds, and to add fullness to your lips.

Juvederm

JUVÉDERM® XC is the smooth gel facial filler that we use to instantly smooth away wrinkles around your mouth and nose. With just one treatment, you’ll get smooth and natural-looking results that can last up to a year.

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 men and women.

Kybella

Kybella is a non-surgical injectable for chin contouring and reducing moderate to severe fat on the upper neck, otherwise known as the “double chin.” The injection contains a naturally occurring molecule which eats away at fat. When injected properly, all other cells are left healthy and intact. Using Kybella for treatment on areas other than the double chin is not approved or recommended.

Associates in Plastic Surgery is one of few cosmetic surgeons who is trained and certified to offer Kybella in the Southeast US region.

Sculptra

Sculptra is a facial filler injected into the skin for restoration and/or correction of the signs of facial fat loss. Sculptra is a synthetic injectable material known as “poly-L-lactic acid.” Poly-L-Lactic acid is biocompatible (a material that does not harm the body) and biodegradable (able to be broken down by the body). It stimulates the body to form its own collagen filler to restore the fullness to the face. The results are not apparent immediately, and some patients require several treatment sessions. Treatment results can last up to 2 years after the first treatment. We recommend at least 2-3 treatments of this product.

Voluma

JUVÉDERM VOLUMA™ XC injectable gel is the first and only facial filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile, for up to 2 years, in patients over the age of 21. It’s different than JUVÉDERM® XC and works on a different area of the face.

Radiesse

Radiesse dermal filler is made of calcium-based microspheres suspended in a water-based gel, and is injected into the skin through a simple and minimally invasive procedure. Radiesse is the ideal choice for total facial contouring. It can restore a healthy, youthful appearance, enhance your existing features, help you defy age and gravity, and increase your confidence, all without invasive surgery or scarring. Radiesse wrinkle filler is a safe and convenient way to immediately correct facial wrinkles. Radiesse stimulates your body to produce new collagen, gives you a natural and youthful look and results may last up to 1 year. More than one treatment may be recommended.

Spider Vein Treatment

Spider vein treatment involves laser treatment or injection sclerotherapy. Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins. Sclerotherapy involves an injection of a solution (generally a salt solution) directly into the vein. The solution irritates the lining of the blood vessel, causing it to swell and stick together, and the blood to clot. Over time, the vessel turns into scar tissue that fades from view.

Sclerotherapy is a proven procedure that has been in use since the 1930s.

Laser Skin Tightening

Laser skin tightening is a minimally invasive, non-surgical process that uses an infrared light source (a laser) to tighten skin by heating the collagen under the skin’s surface, causing the skin to contract (tighten).

Skin Resurfacing

Associates in Plastic Surgery offers Skin Resurfacing procedures such as Chemical Peels, Dermabrasion, Laser Resurfacing, and Skin Pen.

Chemical Peels can improve the skin’s appearance. In this treatment, a chemical solution is applied to the skin, which makes it “blister” and eventually peel off. The new skin is usually smoother and less wrinkled than the old skin.

Dermabrasion is a technique that uses a wire brush or a diamond wheel with rough edges (called a burr or fraise) to remove the upper layers of the skin. The brush or burr rotates rapidly, taking off and leveling (abrading or planing) the top layers of the skin. This process injures or wounds the skin and causes it to bleed. As the wound heals, new skin grows to replace the damaged skin that was removed during dermabrasion.

Laser Resurfacing removes skin layer by layer with precision. The new skin cells that form during healing give the skin a tighter, younger looking surface. The procedure can be done alone or with other cosmetic surgeries on the face.

Skin Pen works to diminish the signs of aging. Other treatments such as laser resurfacing have longer recovery periods and can cause hyperpigmentation in some skin types. Skin Pen is a safe and comfortable alternative to consider.

Skin Cancer Screening

We specialize in small to large. Skin Cancer starts small and grows to large on it’s own. Early detection is the key to successful treatment.

Natalie Owsley is the first Nurse Practitioner for the practice and is our resident skin health expert. Natalie will provide skin evaluation and treatment, facial rejuvenation and cosmetic laser treatments for all patients. Natalie brings ten years of experience as a Nurse Practitioner and over 20 years of experience as a Registered Nurse. She is a dual certified Family and Pediatric Nurse Practitioner.

Schedule a skin cancer screening exam today with Natalie Owsley, MSN, FNP-BC today at our convenient location on 3404 Navajo Drive. Call us at 423-624-0021.

 

 

 

Cosmoceutical Skincare Products

Cosmoceuticals:

We offer several top of the line cosmoceutical skincare products to address a combination of skin needs. From blemishes to aging, and from sun protection to scar recovery, our cosmoceuticals can improve your unique skin problems and concerns.

zo skincare

ZO by Dr. Obagi:

Nearly three decades ago, Dr. Zein Obagi redefined skincare to include the concept of creating and maintaining healthy skin instead of only treating skin disease. This new philosophy led to the development of some of the most widely recognized skincare products and solutions recommended by physicians.

  • Ossential night repair
  • Ocli Sunscreen plus primer
  • Ossential daily power defense

 

skinmedica skincare

Your body’s natural healing and restructuring properties serve as the inspiration for all SkinMedica® products and no one understands how those properties work better than your physician. It is our goal to play an important role in helping you maintain healthy skin and recommending the best products.

  • Dermal repair cream
  • Exfoliating cleanser
  • Vitamin C+ E Complex
  • Retinol Complex
  • TNS recovery serum
  • TNS Essential Serum

 

TiZo skincare

TiZO was created by, Dr. Harry Fallick, a triple board certified Plastic Surgeon and current Board Member of the American Academy of Dermatology.

  • Facial Mineral Spf40

 

bioCorneum skincare

bioCorneum®+ is the leading choice of medical professionals when creating a comprehensive scar management plan for patients.

  • bioCorneum w/ spf 30 – scar repair therapy

Latisse skincare

LATISSE® is the first and only FDA-approved prescription treatment for inadequate or not enough eyelashes, growing them longer, fuller and darker.