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Other Procedures


Scar Revision

The effect of facial scarring is often more than skin deep. Facial scars resulting from trauma, burns, acne, or prior surgery can be devastating. Whatever the cause of your facial scar, Dr. Mathison will dedicate himself to achieving maximal improvement in the appearance of your facial scars.

The objective in treatment of scars is to make them less visible. This can be achieved using a number of techniques of camouflage and/or repositioning. Some of the options that Dr. Mathison may recommend during your consultation include scar massage, cortisone injections, simple re-excision, dermabrasion, re-excision, or geometric broken line closure.

After your scar revision procedure(s), it is very important to follow Dr. Mathison’s instructions after surgery to maximize proper wound healing to ensure your best possible outcome.

Microtia Reconstruction

Microtia is a birth deformity of the ear that occurs about one in 5,000-7,000 births, which results in non-formed or a misshapen ear. Typical microtia, grade 3, looks like a little sausage-shaped wrinkle of skin. A grade 2 microtia is a less severe form and often looks like a miniature ear. Grade 1 microtia is a minimally deformed ear. Ninety percent of the time only one ear is involved.

The two main approaches are the use of a Medpor implant, or the use of one’s own rib cartilage. The surgery is often employed around the age of 6 years. Medpor is favored because of its ability to be incorporated into the patient’s tissues and its eventual behavior like one’s own tissue. Microtia reconstruction is also commonly performed on adults that were not able to fix their ears at an early age.

Microtia reconstruction is performed in a series of operations carried out over several months. The first operation requires a brief post-operative hospital stay, but subsequent procedures are performed on an outpatient basis. Because of the unique anatomy of the area and the possibility of associated hearing loss, microtia reconstructive surgery demands a skilled plastic surgeon specializing in the head and neck to preserve functionality and optimize the cosmetic outcome. For this reason, many patients choose Dr. Mathison for their microtia reconstructive surgery.

Necklift & Liposuction

As life spans lengthen, most people feel energetic long after their appearance begins to show premature signs of aging. Excess fat, loose, sagging skin and prominent bands of the neck are some of the hallmarks of the aging face. These unwanted traits are usually due to a combination of age, gravity, and heredity. Neck lift surgery corrects the excess fat of the neck, and depending upon the degree of laxity, a neck lift can tighten the underlying muscles as well as the loose, sagging skin. Neck lift procedures produce more definition to your profile, accentuate your jaw line, and give one a more youthful appearance.

There is usually no ideal age for neck cosmetic surgery. Candidates may range from teenagers who need only neck liposuction to middle-aged individuals who may need just a slight tuck, and ultimately to a fully-aged neck that may need multiple modalities. There are a variety of neck lift techniques available to you (liposuction, platysmaplasty, cervicoplasty), and the appropriate technique will be tailored to your specific needs. Often a neck lift procedure is combined with other facial rejuvenative procedures. For those individuals who are geared toward achieving and maintaining a youthful balance of all parts of the face, your neck lift may be combined with a facelift or chin implant to further accentuate a youthful jawline. During your initial consultation, Dr. Mathison will thoroughly discuss your desires and expectations for your neck rejuvenation.

Octoplasty

Abnormally protruding ears can make a child of any age the object of cruel remarks by his or her peers. For any child whose appearance causes concern, otoplasty (“ear pinning”) should be considered before peer pressure begins to play a significant role in your child’s self-esteem. Otoplasty is a safe, effective, out-patient procedure performed to achieve a less noticeable appearance while maintaining appropriate function.

Candidates for otoplasty include any adult or child with prominent or misshaped ears. This surgery is typically performed on children, but it is also performed on thousands of adult patients each year. The most common reason for this procedure is to correct prominent or protruding ears. The procedure itself consists of making a small incision at the back of the ear, sculpting the cartilage, and then using stitches to help maintain the ear’s new shape. Ear surgery usually takes about 2 hours with little post-operative discomfort. Recovery time is about a week.

Special cases of children born without external ears or with badly misshapen ears are handled in a team fashion. The Center’s Microtia Team can effectively handle these significant deformities. The patient’s family should seek consultation with Dr. Mathison for these specialized cosmetic ear procedures.

Chin & Cheek Implants

An underdeveloped chin is often an oversight that is not recognized by the patient. Most of us see ourselves as a frontal view when we look in the mirror, while others see us from many angles. The chin is a major feature that contributes to the profile, and any excess or deficiency can detract from the overall appearance. A weak chin can conflict with ideal facial proportions, while a well-defined chin helps give balance and harmony to the face.

By sculpting the chin through plastic surgery, a more aesthetically pleasing profile can be achieved. Whether constructing a stronger, more defined chin, or a more delicate, smaller one, Dr. Mathison can create a more balanced relationship between various facial structures.

Many times men ask for a stronger looking chin. A weak chin can lead to the false perception of timidity and weakness. Inserting an implant that adds lateral width conveys a stronger jaw.
Placement of a chin implant is commonly accompanied with other cosmetic procedures. It can be combined with liposuction of the neck to allow the lower facial skin and neck to shrink-wrap down to the new form, producing a stronger, better-contoured chin.

A facelift can help lift the jowls, but may not address the small grooves in front of the cheeks. This groove is due to the loss of bone in the jaw that occurs with aging. Combining the facelift with a chin implant will add volume to the chin, help eradicate the jowls, sharpen the jaw line, and erase the grooves that can sometimes form in front of the jowls.

Frequently, individuals are concerned about having a large nose, when in fact it is their undersized chin that is contributing to the illusion of a larger nose. In those cases, only minor refinements of the nose are required to significantly improve the nasal aesthetics when accompanied with chin augmentation.

Cheek Implants

Cheek implants are one of the most popular types of facial cosmetic surgery. Implants can make all the difference when a weakness of the mid-third of the face exists. A deficient cheek structure can make your face appear drawn and gaunt. It may give the appearance of heaviness in the lower face and an aged look of the under-eye area. Strong cheek bones and full cheeks, on the other hand, give your face a youthful, natural glow.

Once thought a beauty procedure sought by only women, men in today’s competitive corporate workplace are increasingly seeking cheek implants to restore a younger look that more typifies their energy level.

An important first step toward any cosmetic surgery is to have a facial plastic surgeon assess the entire picture before making specific recommendations. At an initial consultation, Dr. Mathison will evaluate the bony and soft tissue architecture of the face, including the proportion and balance of the face, nose, and cheeks. Skin type, ethnic background, and age are important factors influencing the outcome of plastic surgery. Together, the two of you will discuss many alternatives before determining if cheek implants are right for you. Call 865-862-5999 to schedule your consultation.

Upper & Lower Eyelids

Some say that the eyes are “the windows to the soul” – but sagging, drooping, and puffiness around the eyes can give the false impression of being a tired soul. Eyelid surgery can help restore drooping upper eyelids or the puffy skin under the eyes that can make us look older and more tired than we really are.

As with any cosmetic procedure, the process begins with a careful analysis of the eyes, brow position, and an understanding of the cause of the aging changes. It is only then that recommendations can be made regarding the procedure(s) that will yield the most desirable result. Following a comprehensive assessment of the aging-related changes around the eyes, a sophisticated treatment plan can be prepared. Commonly the plan involves a variety of non-surgical and conservative surgical modalities that when put together, truly rejuvenate and revitalize the eyes with minimal risk and downtime. The aim of the procedure is not to make you look different, but to make you look better – like the “real” you.

Lower Eyelids

Lower eyelid surgery can be performed from inside the lower eyelid if the heaviness of the lids is primarily due to excess fat, or through an incision that is hidden just under the lower lashes if excess skin and fat needs to be addressed. Excess skin can also be tightened by laser treatment. Through this process, wrinkles and any remaining sagging or loose tissue can be minimized.
Surgery of the upper eyelid is aimed at removal of excess skin and fat, which gives the eyes a more refreshed and vibrant look. The procedure usually takes around one hour. An incision is made along the natural lines of your eyelids and is nearly invisible within a few days of surgery. Many times the upper eyelids appear heavy because the brow is in a lower position. The brows should be positioned above the bony rim. Whether because of genetics, volume loss, or gravity, they begin to descend below the rim.

Dr. Mathison will assess your brow position and determine if a browlift should be combined with blepharoplasty to provide a harmonious upper face rejuvenation.

Facial Reconstruction

At the Knoxville Center for Facial Plastic Surgery, Dr. Mathison performs reconstructive surgery to help patients who have facial deformities resulting from cancer excision, trauma, or birth defects. With his expertise in Facial Plastic and Reconstructive surgery, Dr. Mathison is dedicated to providing customized care to his patients. Because each region of the face, head, and neck presents its own challenging and unique anatomy.

Facial reconstructive surgery demands a skilled plastic surgeon specializing in the head and neck to preserve functionality and optimize the cosmetic outcome. When functional structures like the nose, mouth, eyes, and ears are affected, it’s a marriage of form and function to repair the wound and still make the patient look as natural as possible.

For this reason, many East Tennessee patients choose to have their facial reconstruction performed by Dr. Mathison.

Skin cancers such as basal cell and squamous cell carcinomas are the most common forms of cancer in the United States. More than 500,000 thousand new cases are reported each year. While skin cancers can be found on any part of the body, about 80 percent appear on the face, head, or neck. There are many factors that need to be considered when repairing a defect created by the removal of a skin cancer. They include the location, size, depth, and extent of the defect.

In addition to his expertise in cosmetic surgery, Dr. Mathison has extensive experience repairing facial defects created by MOHS surgery. MOHS micrographic surgery is a procedure that is performed by dermatologists with advanced training in the removal of certain skin cancer types. These procedures are performed in the dermatologist’s office. Following removal of the skin cancer, the surgical defect will require reconstructive repair.

The staff at the Knoxville Center for Facial Plastic Surgery is devoted to caring for our facial reconstruction patients throughout their entire surgical and post-surgical process.