Surgical

hand of a surgeon drawing black dotted lines on a woman's face

surgical beauty in johnson city, tn

Your Dream Body

Here at The Caudle Center, we work hard to give all of our patients the body that they’ve always wanted.

Our entire staff and surgical team are constantly learning so that our patients can get the best body in the easiest way possible. They are always learning new and better ways to improve the body in both surgical and non-surgical ways.

Once you have had your initial examination, we would be glad to explain all of your options. We will be happy to discuss the procedures, along with the associated recovery and the cost. Use this time wisely. Be sure to ask any questions that you may have so that we can alleviate all of your concerns.

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Arm Lift

Our arm lift procedure is perfect for those who are looking to improve the appearance of their arms. If you have loose skin or excess fat on your arms, our procedure can help. We'll remove the unwanted tissue and give you the toned, shapely arms you've always wanted.

Our team of experienced professionals is committed to providing you with the best possible experience, and we are confident that you will be satisfied with your results.

Our Surgical Arm Lift Methods

An Arm Lift, or Brachioplasty, is a surgical procedure that removes the sagging drooping skin and excess fat that reshapes the arm into a more pleasing aesthetic appearance. Typically excess skin (and associated excess fat if present) is removed from the arm extending from the axilla (armpit) to the elbow. The option of a full arm lift or mini-arm lift will depend upon the patient’s physical findings.

While we all prefer to avoid surgery, unfortunately, diet and exercise just can’t remove excess skin. If excess arm fat is also present, then the arm lift can be combined with liposuction to improve arm contours. This technique requires general or tumescent anesthesia. After the surgery reshapes their arms into a slimmer and contoured appearance, patients feel more comfortable wearing sleeveless clothing.

A variation of the surgical arm lift requires no skin excision or mini skin excision. This new arm technique uses radiofrequency (RF) energy to tighten the skin, dermis, and underlying connective tissue, usually without excision of any skin. This latest technique, BodyTite, allows for exceptional non-excisional tightening. One probe is inserted under the skin through a small incision and a second probe sits on top of the skin allowing for well-controlled heating of the skin and deeper tissues.

However, severe cases of arm laxity with sagging skin will still be best treated with the traditional arm lift (Brachioplasty). This procedure can be combined with RF microneedling (next section) to obtain enhanced results. This energy-based device has faster results and requires general or tumescent anesthesia.

Nonsurgical Arm Tightening

Nonsurgical arm tightening is a nonsurgical procedure that tightens the loose skin around the arm to yield a more contoured and slimmer appearance. Nonsurgical arm tightening has similar goals as a surgical arm lift but is limited to patients who have a mild to moderate excess skin or excess fat.

A set of 24 microneedles penetrates the skin to the deep dermis and uses radiofrequency energy to heat the underlying deep tissue to cause contraction of the supporting structures and collagen and promote additional subdermal collagen and elastin production to reduce the appearance of loose skin. This energy-based device has faster results and requires topical or tumescent anesthesia. Usually, noticeable results occur after one treatment, with the best results after 2 to 3 treatments. There is minimal downtime.

Uses radiofrequency energy to heat the underlying tissue to encourage subdermal collagen and elastin production to reduce the appearance of loose skin. This technology allows for noninvasive skin tightening, with no anesthesia required for treatment. There is no downtime, but it requires multiple treatments to obtain results.

FAQ's About Arm Lift (Brachioplasty)

Patients who are in reasonably good health.
Patients that have reasonable and realistic expectations.
Patients that have a significant amount of upper arm skin laxity.
Patients that have a significant amount of upper arm adiposity.
Patients who don’t smoke.
Patients looking for a more youthful or contoured arm body shape.

Patients who are not in reasonably good health with serious or poorly controlled health problems.
Patients who do not have reasonable and realistic expectations.
Patients who are excessively obese.
Patients who smoke.
Patients who want absolute perfection.
Patients who do not want a scar on the inside of their arms (see other options above).

All of the above-mentioned procedures will produce long-lasting results for years. The surgical arm lift will yield the longest results. The less invasive procedures will yield a shorter length of results. After a surgical arm lift (Brachioplasty) in which skin is removed, the arm’s new shape is more or less permanent. Liposuction permanently removes and destroys fat cells. After liposuction, the arm’s new shape is also more or less permanent.

If a person gains weight after liposuction, the area treated by liposuction will not accumulate as much fat as other not treated body areas. Fat accumulates in every area of the body in proportion to the number of fat cells in each area. A person may look disproportionate if they gain excessive amounts of weight. Aging and weight change will affect the subsequent appearance of the arm. Final results may not be evident for six months for most.

Weight Loss – For more information.
Surgical Arm Contouring – See Option 1 and 2 above.
Nonsurgical Arm Contouring – See Option 3 and 4 above.
Nonsurgical and Non-invasive – See Option 5 above.
Arm Contouring by any means is never absolutely necessary.

That depends upon the procedure that you choose. Surgical arm lift (skin removed) yields the quickest results but generally has more risks. Most patients will see 90% of their ultimate arm lift results within six weeks after surgery. The other procedures yield the initial best results at 6 weeks to 3 months with improvements seen even at 6 months. For the first few weeks after surgery, there is postoperative swelling. The rate at which this swelling subsides depends on the surgeon’s surgical technique and method for postoperative care. Final results may take six months or longer.

The surgical arm lift (Brachioplasty) can be performed with either general anesthesia in a certified outpatient surgical facility or the surgeon’s specialized procedure room in his office, depending upon various patient factors and the amount of correction needed. Your post-operative pain will be the same with either anesthesia technique. With general anesthesia, you will experience no operative pain or discomfort. With awake tumescent anesthesia, patients will receive pre-operative medication to help them relax so they can more easily tolerate the initial discomfort with administering the tumescent anesthesia into the treatment area.

The tumescent technique produces profound and long-lasting local anesthesia of the skin and subcutaneous fat. Since the patient is awake and relaxed, they can notify the surgeon immediately of any discomfort. They can also reposition themselves to allow for better liposuction results.

The nonsurgical arm tightening can be performed with either topical or tumescent anesthesia.

Arm lift (Brachioplasty) or RF BodyTite procedure

The time required for either of these procedures depends on the extent of the skin excision or treatment area and whether liposuction will be necessary as an adjunct to obtain the best results. Generally, your stay from the time you arrive at the facility until you are discharged will require several hours.

Nonsurgical Arm Tightening

Nonsurgical & Non-invasive Arm Tightening

The time required for radiofrequency (RF) surface skin tightening is usually 60 minutes requiring 6 sessions and requires no anesthesia.

The fee for an Arm Lift (Brachioplasty) or RF BodyTite procedure has a fairly large range depending upon the extent of correction needed, possible anesthesia fee, possible facility fee, and ancillary treatments such as liposuction. The RF BodyTite procedure can usually be performed with tumescent anesthesia resulting in lower costs.

The fee for Nonsurgical Arm Tightening depends on whether the radiofrequency (RF) surface skin tightening which requires no anesthesia but 6 sessions or the radiofrequency (RF) deep skin tightening with microneedles is selected with topical or tumescent anesthesia.

For an accurate estimate, it is necessary to have a consultation with the surgeon.

Home Care: You will be discharged home to the care of a responsible adult.
Activities: Plan to rest in bed immediately after treatment. Later in the day, short walks are good. Resume light daily activities the following day after your procedure. Depending on extending the procedure and your tolerance for discomfort, you may be required to miss work from a few days to 2 weeks. Resume exercise gradually as tolerated by “listening” to your body’s messages.
Elastic Compression Garment: Wear your compression garment for the first few weeks.
Wound Care and Drainage: Some blood-tinged drainage is usually expected for the first several days.
Bathing: It is preferable to bed bath the first few days and then shower rather than bathe. Discuss with your surgeon for his recommendation.
Diet: Generous fluids are recommended for the first 24 hours. Resume light foods as tolerated.
Follow-up Appointment: Usually 3-7 days after your procedure.

As with all surgical and nonsurgical procedures, there are inherent risks. The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. All procedures have some degree of complications. The nonsurgical procedures have the smallest risks, while the surgical options have more risks. Most are minor and rarely affect the cosmetic results, and only occasionally occur, such as swelling, bruising, minor lumps and bumps, and skin numbness.

Major complications are uncommon but include significant cosmetic irregularities such as lumps and bumps, poor contouring or body shape, indentations, scarring, skin necrosis, discoloration of the skin, infections, injury to the underlying nerves or blood vessels, numbness, persistent pain, the possible need for revisional surgery, bleeding or hematomas, or seromas. Some major complications can take months to resolve or improve or may be permanent and should be discussed with your surgeon prior to the proposed procedure.

For more information on arm lifts, or to schedule an appointment, please don’t hesitate to contact us today at (423) 926-2400.

a smiling woman wearing a white bra is measuring her breast with a yellow measuring tape.

Breast Augmentation

Breast augmentation has been one of the most popular cosmetic procedures. Fat transfer and other less invasive procedures are available at The Caudle Center and are excellent for less severe breast deflation (loss of breast volume) and breast droopiness.

RF energy is an excellent choice for women who want mild to moderate improvement in breast ptosis (droopy breasts) to raise the nipple. These procedures can be done with tumescent anesthesia without the need, expense, and risks of general anesthesia.

Augmentation with fat transfer is an increasingly requested service due to the more natural result with no foreign body associated problems. Many women also desire some degree of breast lifting for a more “perkier” look. Augmentation can be done with implants for more immediate and greater enhanced results. A traditional breast lift requires general anesthesia, long incisions, more risks, and greater contouring skills.

Many women may only desire a mild to moderate enhancement in breast size or breast lift. Traditional breast implants or breast lifts will still be necessary for those women desiring greater breast enhancement in size or women with a greater degree of breast ptosis (saggy breast) or more moderate to severe cases of breast deflation. We will only address fat transfer and other less invasive procedures for breast augmentation and breast lift.

As with the rest of your body, those choices are personal and individualized. However, enhancing the appearance of your breast may improve self-confidence, psychosocial well-being, and sexual well-being. If it is your desire to enhance your breast, that is good; don’t do it to satisfy anyone else. As with all cosmetic procedures, the surgeon can only enhance what God has given you.

An advantage of fat grafting to the breasts is that it requires liposuction of another area of the body which can be simultaneously contoured along with breast enhancement. There are two choices to choose from to satisfy the patient’s desires and goals to increase the size, shape, and lift of the breasts.

Fat Transfer for Breast Augmentation

The method that is most appropriate for your particular circumstances and physical features will be determined by your cosmetic surgeon according to your aesthetic goals at the time of your consultation. Generally, the amount of fat transferred to each breast depends on the volume of each breast recipient site (the larger the breasts, the more fat transfer is possible). However, the smaller the breasts, the more noticeable the difference post-fat transfer.

Generally, the volume of fat transferred ranges from 300cc to 900cc, which will increase the size of the breasts from one half a bra size to a full bra size larger. However, immediate results will be temporary as the body reabsorbs the fat cells that die. The final breast size will depend upon the extent of baby fat cells that survive, mature, and enlarge. The final results will not be apparent for 6-9 months.

Skin Tightening for Breast Lift

The most appropriate method for your particular circumstances and physical features will be determined by your cosmetic surgeon according to your aesthetic goals at the time of your consultation. Generally, the amount of lift obtained on each breast depends on the size of each breast (the larger the breasts, the less lift) and the quality of the skin (thicker good quality skin allows for more lift). However, the smaller the breasts, the more noticeable the difference posts treatment. All larger breasts will require the traditional surgical breast lift to obtain a satisfactory breast lift.

However, sometimes women are more interested in obtaining a more forward nipple projection with some lift without a full lift, which can be done with less invasive skin tightening surgery and avoid the long incisions. Results will take several months as the body remodels and soft tissue contracts from new collagen deposition. Improvements in lift and projection can be seen up to six months to a year later.

FAQ's for Breast Augmentation / Lift

Patients who are in good overall health, including those individuals with well-controlled medical problems.
Patients who are dissatisfied with the appearance (too small or asymmetric) of their breasts.
Patients who desire to increase the size, shape, or lift of their breasts.
Patients who have sagging or deflated breasts from aging, pregnancy, or significant weight loss.
Patients that have reasonable and realistic expectations.
Patients committed to good nutrition, exercise, and a healthy lifestyle.

Patients whose general health is compromised.
Patients who do not have reasonable and realistic expectations.
Patients who smoke.
Patients who want absolute perfection.

It is the goal of either Breast Fat Transfer / Lift to permanently improve the size, shape, and projection of your breasts. The amount of improvement depends on a number of factors. As with all things in life, age, gravity, and time will eventually change the size, shape, projection, and overall appearance of the breasts.

General Description of Breast Fat Transfer

Either tumescent or general anesthesia is available.
Fat is harvested from the donor site(s).
The harvested fat is prepared for reinjection.
The sterile fat is reinjected into the breasts.

General Description of Breast Lift

Either tumescent or general anesthesia is available.
The radiofrequency device (BodyTite) is used to contract the skin and soft tissue of the breast.

The preliminary enhanced results are seen immediately but are temporary. The initial improvement is followed by loss of volume as the body reabsorbs the fluid and the fat that doesn’t survive the fat transfer, followed again by gradual enhancement over the next 6 months to a year as the new fat cells grow into mature fat cells.

Breast Augmentation with fat transfer (requires liposuction to harvest the fat) can be performed with either general anesthesia in a certified outpatient surgical facility or in the surgeon’s specialized procedure room in his office, depending on various patient factors and considerations. Your post-operative pain will be the same with either anesthesia technique. With general anesthesia, you will experience no operative pain or discomfort.

The tumescent technique produces profound and long-lasting local anesthesia of the skin and subcutaneous fat. Since the patient is awake and relaxed, they can notify the surgeon immediately of any discomfort. The tumescent anesthesia technique, in many cases, eliminates the need for general anesthesia along with its additional risks and costs.

From the time that you arrive at the facility until the time that you are discharged home will require several hours. Usually, it takes several hours to for liposuction and fat augmentation and less time for less invasive radiofrequency breast lift. Either procedure depends upon the extent of the procedure and if tumescent or general anesthesia is administered.

The fee for breast fat augmentation (liposuction with fat transfer) depends on how fat needs to be harvested and whether tumescent or general anesthesia is selected. The less invasive breast lift procedure is less expensive. Liposuction with fat transfer usually begins around $2500-3000. For an accurate estimate, it is necessary to have a consultation with the surgeon.

Home Care: You will be discharged home to the care of a responsible adult.
Activities: Plan to rest in bed immediately after treatment. Later in the day, short walks are good. Resume light daily activities the following day after your procedure. Depending on extending the procedure and your tolerance for discomfort, you may be required to miss work from a few days to 2 weeks. Resume exercise gradually as tolerated by “listening” to your body’s messages.
Elastic Compression Garment: Wear your compression garment for the first few weeks.
Wound Care and Drainage: Some blood-tinged drainage is usually expected for the first several days.
Bathing: It is preferable to shower rather than bathe for 7 days after surgery.
Diet: Generous fluids are recommended in the first 24 hours. Resume light foods as tolerated.
Follow-up Appointment: Usually 3-7 days after your procedure.

As with all surgical procedures, there are inherent risks. The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. All surgical procedures have some degree of complications. Most are minor, temporary, rarely affect the overall cosmetic results, and only occasionally occur, such as swelling, bruising, minor lumps and bumps, and skin numbness.

Major complications are uncommon but include significant cosmetic irregularities such as lumps and bumps, poor contouring or body shape, indentations, scarring, skin necrosis, discoloration of the skin, infections, bleeding or hematomas, seromas, or fat embolism that could be lethal. Some major complications can take months to resolve or improve or may be permanent and should be discussed with your surgeon prior to the proposed procedure.

For more information on breast fat augmentation, less-invasive breast lift, or to schedule an appointment, please don’t hesitate to contact us today at (423) 926-2400.

woman's body in white lingerie, with emphasis on the buttocks.

Buttock Augmentation

With developments in liposuction and fat grafting techniques, there is a growing popularity of buttock augmentation. Unfortunately, not everyone was born with a curvaceous buttock, and then again, not everyone wants a fuller buttock. As with the rest of your body, those choices are personal and individualized.

However, enhancing the appearance of your buttock may improve self-confidence. If it is your desire to enhance your buttock, that is good; don’t do it to satisfy anyone else. As with all cosmetic procedures, the surgeon can enhance what God has given you but cannot give you someone else’s buttocks.

An advantage of fat grafting to the buttocks is that it requires liposuction of another area of the body which can be simultaneously contoured along with the buttock enhancement. There are three choices to choose from to satisfy the patient’s desires and goals to increase the size and shape of the buttocks.

Options for Buttock Augmentation

Brazilian Butt Lift (BBL) or Butt Augmentation with fat grafting. This requires obtaining fat from another area of the body via liposuction, such as the abdomen, flanks, back, thighs, etc. The fat removed from those areas is injected into the buttock area for overall, regional, or localized enhancement. Given the proper candidates, liposuction around the buttocks may further enhance the appearance.
Surgical Butt Lift with skin excision (Glutealplasty) is similar to a Tummy Tuck, which requires skin above the buttocks to be excised, thus lifting a sagging buttock. Fat grafting can also be done simultaneously to yield an even greater. For marked saggy buttocks, the butt lift procedure may be the best option.
Buttock / Gluteal implants will enhance the size and shape of the upper and outer parts of the buttocks and give great projection.

FAQ's for Buttock Augmentation

Patients who are in good overall health, including those individuals with well-controlled medical problems.
Patients who are dissatisfied with the appearance (too small or asymmetric) of their buttocks.
Patients who desire to increase the size and shape of their buttocks (buttocks are too loose).
Patients who have sagging or depleted buttocks from aging or significant weight loss.
Patients that have reasonable and realistic expectations.
Patients committed to good nutrition, exercise, and healthy lifestyle.

Patients whose general health is compromised.
Patients who do not have reasonable and realistic expectations.
Patients who smoke.
Patients who want absolute perfection.

It is the goal of all three options of buttock augmentation to permanently improve the size and shape of your buttocks. If the patient gains or loses a large amount of weight, then the size and shape will change respectively and possibly be disproportionate. However, most modest weight gain or loss will not adversely affect the patient’s results. As with all things in life, age, gravity, and time will eventually change the size, shape, and overall appearance of the buttocks.

Generally, the maximum amount of fat that can be injected depends upon several different factors. Your surgeon will give you a realistic estimate and overall expected result based on your particular circumstances, fat donor sites, present buttock size, and related information. There have been serious complications due to the injection of fat in close proximity to the vascular structures. Safe guidelines have been proposed but do limit the extent of fat augmentation. The first and primary goal of any procedure is to be safe.

All three options can be performed with either tumescent or general anesthesia, although general anesthesia may be preferred depending on patient factors and desires.

The Caudle Center offers either Brazilian Butt Lift (liposuction and fat transfer) or Buttock Lift Surgery. Buttocks implants are not available at The Caudle Center.

Procedure Description for Brazilian Butt Lift

Either tumescent or general anesthesia is available.
Fat is harvested from the donor site(s).
The harvested fat is prepared for reinjection.
The sterile fat is reinjected into the buttocks.

Buttock Augmentation with liposuction and fat transfer can be performed with either general anesthesia in a certified outpatient surgical facility or in the surgeon’s specialized procedure room in his office, depending on various patient factors and financial considerations. Your post-operative pain will be the same with either anesthesia technique. With general anesthesia, you will experience no operative pain or discomfort.

With awake tumescent anesthesia, patients will receive pre-operative medication to help them relax so that they can more easily tolerate the initial discomfort with administering the tumescent anesthesia into the treatment area and donor area. The tumescent technique produces profound and long-lasting local anesthesia of the skin and subcutaneous fat. Since the patient is awake and relaxed, they can notify the surgeon immediately of any discomfort. The tumescent anesthesia technique, in many cases, eliminates the need for general anesthesia along with its additional risks and costs.

For the buttock lift procedure, the surgical dissection and incisions are much more extensive and would be best performed under general anesthesia.

From the time that you arrive at the facility until the time that you are discharged home will require several hours. Usually, it takes several hours to complete either the Brazilian Butt Lift or Butt Lift procedure depending upon the extent of the procedure and if tumescent anesthesia is administered.

The fee for Brazilian Butt Lift (liposuction with fat transfer) usually depends on how many areas and location(s) are treated by liposuction and the amount of fat required to be harvested. When only one area is treated by liposuction, the fee is less than when multiple areas are treated. Liposuction with fat transfer usually begins around $2500-$3000.

The fee for Butt Lift surgery includes the surgeon’s fee, anesthesia fee (general anesthesia), and facility fee.

For an accurate estimate, it is necessary to have a consultation with the surgeon.

Home Care: You will be discharged home to the care of a responsible adult.
Activities: Plan to rest in bed immediately after treatment. Later in the day, short walks are good. Resume light daily activities the following day after your procedure. Depending upon extending the procedure and your tolerance for discomfort. You may be required to miss work from a few days to 2 weeks. Resume exercise gradually as tolerated by “listening” to your body’s messages.
Avoid lying on your buttocks: It is critical to avoid lying or sitting on your buttocks for the first three months as much as possible to avoid “suffocating” the transferred fat cells that are trying to survive.
Elastic Compression Garment: Wear your compression garment for the first few weeks.
Wound Care and Drainage: Some blood-tinged drainage is usually expected for the first several days.
Bathing: It is preferable to shower rather than bathe for 7 days after surgery.
Diet: Generous fluids are recommended in the first 24 hours. Resume light foods as tolerated.
Follow-up Appointment: Usually 3-7 days after your procedure.

As with all surgical procedures, there are inherent risks. The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. All surgical procedures have some degree of complications. Most are minor and rarely affect the overall cosmetic results, occur occasionally such as swelling, bruising, minor lumps and bumps, and skin numbness.

Major complications are uncommon but include significant cosmetic irregularities such as lumps and bumps, poor contouring or body shape, indentations, scarring, skin necrosis, discoloration of the skin, infections, bleeding or hematomas, seromas, or fat embolism that could be lethal. Some major complications can take months to resolve or improve, or maybe permanent and should be discussed with your surgeon prior to the proposed procedure.

For more information on buttock augmentation, or to schedule an appointment, please don’t hesitate to contact us today at (423) 926-2400.

surgical beauty in johnson city, tn

Your Dream Body

Arm Lift

Read more for details open

Our Surgical Arm Lift Methods

Brachioplasty

BodyTite

Nonsurgical Arm Tightening

Radiofrequency deep skin tightening (RF) with microneedles

Radiofrequency surface skin tightening (RF)

FAQ's About Arm Lift (Brachioplasty)

Who is a good candidate for an Arm Lift or Nonsurgical Arm Tightening?

Who is not a good candidate for an Arm Lift or Nonsurgical Arm Tightening?

Does liposuction produce permanent results?

What alternatives / options are there to arm contouring?

How long will it be before I see results?

Will I be in pain?

How long does Arm Lift (Brachioplasty) take?

How much does Arm Lift (Brachioplasty) and Nonsurgical Arm Tightening cost?

What is the recovery like?

What are the risks of arm lift surgery?

Breast Augmentation

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Fat Transfer for Breast Augmentation

Skin Tightening for Breast Lift

FAQ's for Breast Augmentation / Lift

Who is a candidate for breast fat transfer / lift?

Who is not a candidate for breast fat transfer / lift?

Does breast fat transfer / lift produce permanent results?

How long will it be before I see results?

Will I be in pain?

How long does breast fat augmentation / lift take?

How much does breast augmentation / lift cost?

What is the recovery like?

What are the risks?

Buttock Augmentation

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Options for Buttock Augmentation

FAQ's for Buttock Augmentation

Who is a candidate for buttock augmentation?

Who is not a candidate for buttock augmentation?

Does buttock augmentation produce permanent results?

How much fat can be injected into the buttocks?

General description of buttock augmentation procedure

How long will it be before I see results?

Will I be in pain?

How long does buttock augmentation take?

How much does buttock augmentation cost?

What is the recovery like?

What are the risks?