Your Complete Guide to Facial Plastic Surgery: Procedures Offered by Dr. Ashley Guthrie in Brentwood, TN

Key Points


  • Facial plastic surgery encompasses a wide range of procedures to address aging, structural concerns, and aesthetic goals
  • Surgical solutions provide permanent, dramatic results that non-surgical treatments cannot achieve
  • Dr. Guthrie specializes exclusively in facial procedures, bringing deep expertise to every surgery
  • Understanding your options is the first step toward achieving your aesthetic vision
  • Many procedures can be combined for comprehensive facial rejuvenation
  • Choosing a board-certified facial plastic surgeon ensures the highest level of care and artistry

Choosing to pursue facial plastic surgery is a big decision. Whether you're considering rejuvenation after weight loss, want to address specific features you've never loved, or simply hope to turn back the clock on visible aging, understanding your surgical options is essential.


At Guthrie Facial Plastic Surgery in Brentwood, TN, Dr. Ashley Guthrie offers a comprehensive range of surgical procedures designed to enhance, refine, and rejuvenate the face. Each procedure requires specialized skill, artistic vision, and an understanding of facial anatomy that only comes from dedicated training and experience.


This guide walks you through every surgical option Dr. Guthrie offers, helping you understand what each procedure addresses, who makes a good candidate, and what kind of results you can expect. Think of this as your starting point for exploring the possibilities of facial plastic surgery.


Why Choose Surgical Solutions Over Non-Surgical Treatments?


Before diving into specific procedures, it's worth understanding when surgery makes sense versus non-surgical options.


Non-surgical treatments like Botox, fillers, lasers, and skin tightening devices are excellent for:

  • Mild to moderate concerns
  • Maintenance and prevention
  • Patients who prefer no downtime
  • Temporary enhancements


However, surgical procedures are often the better choice when you have:

  • Significant excess skin or tissue
  • Structural changes that need correction
  • Desire for permanent, dramatic transformation
  • Concerns that can't be adequately addressed with injectables or devices


The key difference? Surgery addresses the underlying architecture of your face, not just the surface. It creates lasting change that continues to look natural as you age.


Facial Rejuvenation Procedures


These procedures address the signs of aging throughout the face and neck, restoring youthful contours and eliminating sagging skin.


Deep Plane Facelift


A deep plane facelift is one of the most advanced and effective facelift techniques available. Unlike traditional facelifts that primarily pull skin, the deep plane approach works at a deeper structural level, lifting and repositioning the underlying facial tissues, muscles, and fat pads.


What it addresses:

  • Jowling along the jawline
  • Deep nasolabial folds (smile lines)
  • Midface sagging and deflation
  • Loss of cheek volume and position
  • Overall facial aging


Why it's superior: Because the lift happens at the structural level, results look incredibly natural and last longer than traditional techniques. You look like a refreshed version of yourself, not pulled or overdone.


Ideal candidates: Patients with moderate to advanced facial aging who want comprehensive, long-lasting rejuvenation.


Related reading: Neck and Jawline Transformation After Major Weight Loss


Neck Lift


A neck lift targets one of the most visible signs of aging: loose, sagging neck skin. This procedure removes excess skin, tightens underlying muscles, and creates a smooth, defined profile.


What it addresses:

  • Turkey neck appearance
  • Loose, hanging neck skin
  • Visible platysma bands (vertical neck cords)
  • Jowling at the jawline
  • Loss of neck and jaw definition


Why it works: Neck lift surgery doesn't just pull skin tight. It addresses the underlying muscle structure (platysmaplasty) and removes actual excess tissue, creating results that look natural and last for years.


Ideal candidates: Anyone bothered by significant neck laxity, whether from aging, genetics, or weight loss.


Related reading: Neck and Jawline Transformation After Major Weight Loss


Brow Lift


A brow lift elevates sagging eyebrows and smooths forehead wrinkles, opening up the upper face and creating a more alert, youthful appearance.


What it addresses:

  • Drooping eyebrows
  • Horizontal forehead lines
  • Frown lines between the eyebrows
  • Hooded upper eyelids caused by low brows
  • Tired or angry resting expression


Why it matters: Low, heavy brows can make you look tired, sad, or older than you are. Lifting them creates a brighter, more approachable appearance while maintaining natural expression.


Ideal candidates: Patients whose eyebrows have descended with age or who naturally have a heavy brow that affects their appearance.

Eye Rejuvenation


The eyes are often the first area to show signs of aging and can dramatically impact your overall appearance.


Blepharoplasty (Eyelid Surgery)


Blepharoplasty addresses both upper and lower eyelid concerns, from excess skin to under-eye bags to hollowing.


What it addresses:


Upper eyelids:

  • Excess, sagging skin
  • Hooding over the lashes
  • Bulging fat pads
  • Heavy, tired appearance


Lower eyelids:

  • Under-eye bags and puffiness
  • Excess skin and wrinkles
  • Tear trough hollowing
  • Dark circles caused by shadows


Why it's transformative: Refreshed eyes make your entire face look younger and more vibrant. It's one of the most noticeable yet natural-looking procedures you can have.


Ideal candidates: Anyone bothered by tired-looking eyes, excess eyelid skin, bags, or hollowing, especially common after significant weight loss.


Related reading: Eyelid Rejuvenation After Weight Loss


Nose Reshaping


The nose is a central facial feature that significantly impacts overall balance and harmony.


Rhinoplasty


Rhinoplasty reshapes the nose to improve both aesthetics and, when needed, breathing function.


What it addresses:

  • Nose size in relation to facial proportions
  • Nasal bridge profile (humps or depressions)
  • Bulbous or wide nasal tip
  • Asymmetry or crookedness
  • Wide or flared nostrils
  • Breathing difficulties from structural issues


Why precision matters: Rhinoplasty is as much art as science. Dr. Guthrie carefully analyzes your facial proportions and creates a surgical plan that enhances your nose while maintaining your unique features and ethnic characteristics.


Ideal candidates: Anyone unhappy with the size, shape, or function of their nose who wants permanent improvement.


Lip Enhancement and Refinement


Surgical lip procedures create lasting changes to lip shape, size, and position.


Subnasal Lip Lift


A subnasal lip lift shortens the distance between the nose and upper lip while creating more visible pink lip tissue, resulting in a fuller, more youthful mouth.


What it addresses:

  • Long upper lip (distance from nose to lip)
  • Thin upper lip with minimal pink showing
  • Downturned mouth corners
  • Aged appearance of the mouth area
  • Desire for permanent fullness (vs. temporary fillers)


Why it's different from fillers: While fillers add volume, a lip lift changes the actual structure and position of your lip, creating permanent enhancement with more visible tooth show when you smile.


Ideal candidates: Patients with a long upper lip, those who want permanent lip enhancement, or anyone seeking a more youthful mouth appearance.


Lip Reduction


Lip reduction decreases the size of overly full or disproportionate lips.


What it addresses:

  • Naturally large lips that feel disproportionate
  • Asymmetrical lip size
  • Lips that have been overfilled with permanent substances
  • Desire for more balanced facial proportions


Why proportion matters: Beauty is about balance. Lip reduction creates harmony between your lips and other facial features.


Ideal candidates: Anyone bothered by overly full lips, whether naturally occurring or from previous procedures.


Facial Contouring and Volume


These procedures reshape facial contours and restore or enhance volume for better definition.


Buccal Fat Reduction


Buccal fat reduction removes fat pads from the lower cheeks to create a more sculpted, defined facial contour.


What it addresses:

  • Round, full lower cheeks
  • "Chipmunk cheek" appearance
  • Lack of cheekbone definition
  • Desire for more angular facial contours


Why strategic removal matters: This isn't about making your face overly thin. It's about creating definition and highlighting your natural bone structure in a way that ages well.


Ideal candidates: Younger patients with naturally fuller cheeks who want more defined facial contours, keeping in mind that facial fat naturally diminishes with age.


Related reading: Buccal Fat Removal vs. Cheek Fillers: What's Right for Your Facial Contour?


Fat Transfer (Fat Grafting)


Fat transfer uses your own fat, harvested from another area of your body, to restore volume naturally in areas that have lost fullness.


What it addresses:

  • Hollow cheeks or temples
  • Under-eye hollowing and tear troughs
  • Thin lips (natural, permanent enhancement)
  • Facial volume loss from aging or weight loss
  • Sunken or gaunt appearance
  • Scars or depressions


Why it's superior to fillers: Fat grafting provides permanent (or very long-lasting) volume restoration using your own tissue. It looks and feels completely natural, and the transferred fat contains beneficial stem cells that can improve skin quality.


Ideal candidates: Anyone with significant volume loss, especially after major weight loss, or those seeking permanent volume restoration.


Related reading:


Facial Implants


Facial implants use biocompatible materials to enhance specific facial features, most commonly the cheeks, chin, or jaw.


What it addresses:

  • Weak or recessed chin
  • Lack of cheekbone definition
  • Asymmetry in facial structure
  • Desire for more prominent features
  • Creating better facial balance and proportions


Why permanent structure matters: Unlike fillers that need ongoing maintenance, implants provide permanent enhancement and can create more dramatic structural change.


Ideal candidates: Patients who want permanent enhancement of specific facial features or need to correct structural imbalances.


Ear Reshaping


Otoplasty (Ear Surgery)


Otoplasty reshapes prominent or misshapen ears, bringing them closer to the head and creating better proportion.


What it addresses:

  • Protruding ears
  • Overly large ears
  • Asymmetrical ears
  • Misshapen ear cartilage
  • Self-consciousness about ear appearance


Why it matters: While often performed on children, many adults pursue otoplasty to correct a lifelong source of self-consciousness.


Ideal candidates: Anyone bothered by the size, shape, or position of their ears.


Hair Restoration


Hair Transplantation


Hair transplantation restores hair to areas of thinning or baldness using your own follicles.


What it addresses:

  • Male or female pattern hair loss
  • Receding hairline
  • Thinning crown
  • Eyebrow thinning or loss
  • Scar-related hair loss


Why natural results matter: Modern hair transplantation techniques create incredibly natural results, with transplanted hair growing and behaving like your existing hair.


Ideal candidates: Anyone with pattern hair loss who has adequate donor hair and wants permanent restoration.


Skin Lesion and Scar Procedures


These procedures address specific skin concerns with surgical precision.


Removal of Cutaneous Lesions


Removal of cutaneous lesions addresses moles, skin tags, benign growths, and other unwanted skin lesions.


What it addresses:

  • Moles (for cosmetic or medical reasons)
  • Skin tags
  • Benign growths
  • Lipomas
  • Other unwanted skin lesions


Why technique matters: Dr. Guthrie uses meticulous surgical technique to remove lesions while minimizing scarring and preserving aesthetics.


Ideal candidates: Anyone with bothersome skin lesions who wants them removed safely and with optimal cosmetic outcomes.


Mohs Skin Cancer Repair


Mohs skin cancer repair reconstructs facial areas after skin cancer removal, restoring both function and appearance.


What it addresses:

  • Defects left after Mohs surgery for skin cancer
  • Functional impairment from cancer removal
  • Aesthetic concerns from cancer excision
  • Desire for optimal healing and minimal scarring


Why specialized expertise matters: Facial reconstruction after cancer removal requires understanding of facial anatomy, aesthetics, and advanced closure techniques to achieve the best possible outcome.


Ideal candidates: Patients who've undergone Mohs surgery and need expert reconstruction.


Scar Revision


Scar revision improves the appearance of scars from previous injuries, surgeries, or trauma.


What it addresses:

  • Thick, raised scars (hypertrophic or keloid)
  • Wide scars
  • Depressed or indented scars
  • Discolored scars
  • Scars that restrict movement
  • Asymmetrical or poorly positioned scars


Why timing and technique matter: Different scars require different approaches. Dr. Guthrie evaluates each scar individually and uses advanced techniques to create the best possible improvement.


Ideal candidates: Anyone bothered by visible or problematic scars who wants to minimize their appearance.

How to Choose Which Procedures Are Right for You


With so many options available, how do you know which procedures align with your goals? Here's how to approach the decision:


Identify Your Primary Concerns


Start by asking yourself what bothers you most when you look in the mirror. Is it:

  • Sagging skin in specific areas?
  • Loss of volume or fullness?
  • Specific features you've never loved?
  • Overall signs of aging?
  • Changes from weight loss?


Consider Your Goals


What do you hope to achieve? Common goals include:

  • Looking more rested and refreshed
  • Turning back the clock by 10-15 years
  • Refining specific features
  • Restoring your appearance after weight loss
  • Finally addressing features you've been self-conscious about


Think About Recovery and Downtime


Different procedures have different recovery timelines:

  • Minor procedures: 1 week
  • Moderate procedures: 2 weeks
  • Major procedures: 2-3 weeks
  • Complete healing: 3-6 months for final results


Your lifestyle, work schedule, and ability to take time off will influence which procedures you pursue and whether you combine them.


Evaluate Budget


Surgical procedures are an investment. While individual procedure costs vary, combining multiple procedures is often more cost-effective than staging them separately, and you only have one recovery period.


Schedule a Consultation


Ultimately, the best way to determine which procedures are right for you is to consult with Dr. Guthrie. She'll evaluate your facial anatomy, discuss your concerns and goals, and recommend a customized treatment plan.


The Benefits of Combining Procedures


Many patients achieve the best results by combining multiple procedures during a single surgery. Benefits include:


Comprehensive Transformation: Addressing multiple concerns at once creates harmony and balance across your entire face.


Single Recovery Period: Instead of recovering from multiple separate surgeries, you heal once and emerge with complete rejuvenation.


Cost Efficiency: Combining procedures reduces overall costs compared to staging them separately, as you're paying for anesthesia, facility fees, and other costs only once.


Better Aesthetic Outcomes: When procedures are performed together, Dr. Guthrie can ensure all elements work together harmoniously for optimal overall results.


Common combinations include:

  • Facelift + neck lift + blepharoplasty
  • Rhinoplasty + chin implant
  • Facelift + fat transfer
  • Blepharoplasty + brow lift
  • Neck lift + blepharoplasty + fat grafting


During your consultation, Dr. Guthrie will discuss whether a combination approach makes sense for your goals.


What to Expect: The Surgical Journey


Understanding the process helps you feel prepared and confident about moving forward.


Consultation


Your journey begins with a comprehensive consultation where Dr. Guthrie will:

  • Listen to your concerns and goals
  • Evaluate your facial anatomy and skin quality
  • Discuss which procedures align with your objectives
  • Show you before-and-after photos of similar cases
  • Explain the surgical process, recovery, and expected results
  • Answer all your questions
  • Provide detailed pricing


Pre-Operative Preparation


Once you've decided to proceed, you'll receive detailed instructions about:

  • Medical clearance if needed
  • Medications to avoid
  • Skincare preparation
  • Arranging help for recovery
  • What to expect on surgery day


Surgery Day


Most facial plastic surgery procedures are performed as outpatient surgery, meaning you go home the same day. You'll be under anesthesia (local with sedation or general, depending on the procedure), so you won't feel anything during surgery.


Recovery


Recovery varies by procedure, but Dr. Guthrie will provide comprehensive post-operative instructions and be available throughout your healing process. Most patients are pleasantly surprised by how manageable recovery is.


Results


As swelling and bruising resolve, your new appearance emerges. Initial results are visible within weeks, but final results typically take 3-6 months as all healing completes. The transformation is worth the wait.


Why Choose Dr. Ashley Guthrie for Facial Plastic Surgery


Choosing a surgeon is one of the most important decisions you'll make. Here's what sets Dr. Guthrie apart:


Board-Certified Facial Plastic Surgeon: Dr. Guthrie specializes exclusively in facial procedures, giving her deep expertise in facial anatomy, aesthetics, and surgical techniques.


Artistic Vision: She approaches each procedure as both science and art, creating results that enhance your unique features rather than following a cookie-cutter approach.


Natural-Looking Results: Dr. Guthrie's philosophy is refinement, not transformation. You'll look like the best version of yourself, not like someone else.


Comprehensive Care: From your first consultation through your final follow-up, you'll work directly with Dr. Guthrie and receive personalized attention.


Advanced Techniques: Dr. Guthrie stays current with the latest surgical innovations, offering patients cutting-edge procedures and approaches.


Patient-Centered Approach: Your goals, concerns, and comfort are the priority at every step.


Browse the surgical photo gallery to see examples of Dr. Guthrie's work and the beautiful, natural results she achieves for her patients.


Recent Insights from the Blog


Stay informed about facial plastic surgery trends and specific procedures:


Visit the blog for more educational content about facial plastic surgery.

FAQs About Facial Plastic Surgery

  • How do I know if I'm a good candidate for facial plastic surgery?

    Good candidates are in good overall health, have realistic expectations, and are bothered by specific concerns that surgery can address. The best way to determine candidacy is through a consultation with Dr. Guthrie.

  • Is facial plastic surgery painful?

    Most patients describe recovery as uncomfortable rather than painful. Prescribed medications manage any discomfort, and pain typically decreases significantly after the first few days.

  • How long do surgical results last?

    Most facial plastic surgery procedures provide long-lasting results, often 10-15 years or more. While you'll continue to age naturally, you'll always look better than if you hadn't had the surgery.

  • What's the difference between a facial plastic surgeon and a general plastic surgeon?

    Facial plastic surgeons specialize exclusively in procedures of the face, head, and neck. This focused expertise means deeper knowledge of facial anatomy, aesthetics, and specialized techniques.

  • Can I see results before committing to surgery?

    During your consultation, Dr. Guthrie will show you before-and-after photos of patients with similar concerns. While she can't predict your exact results, these examples help you visualize what's possible.

  • Will I look "done" or artificial?

    Not with Dr. Guthrie's approach. Her philosophy emphasizes natural-looking enhancement that refreshes your appearance while maintaining your unique features and expressions.

  • How much does facial plastic surgery cost?

    Costs vary significantly based on which procedures you pursue and whether you combine multiple procedures. Dr. Guthrie provides transparent, detailed pricing during your consultation.

  • Is facial plastic surgery covered by insurance?

    Most facial plastic surgery is considered cosmetic and not covered by insurance. However, some procedures (like rhinoplasty for breathing problems or reconstruction after cancer removal) may have insurance coverage. Dr. Guthrie's office can help you understand your coverage.

FAQs About Guthrie Facial Plastic Surgery

  • Where is the practice located?

    ? Guthrie Facial Plastic Surgery is located at 1001 Health Park Drive, Suite 420, Brentwood, TN 37027.

  • How do I schedule a consultation?

    Call (615) 880-9500 or visit drashleyguthrie.com to request an appointment.

  • What should I bring to my consultation?

    Bring a list of your current medications, any questions you have, and photos showing your desired aesthetic if applicable. Most importantly, bring an open mind and be ready to have an honest conversation about your goals.

  • Does Dr. Guthrie offer financing options?

    Contact the office at (615) 880-9500 to discuss payment and financing options.

  • Can I see more patient results?

    Yes, the photo gallery features extensive before-and-after images. Additional photos are available during your in-person consultation.

Your Journey to Facial Rejuvenation Starts Here


Whether you're considering a single procedure to address a specific concern or comprehensive facial rejuvenation to turn back the clock, understanding your options is the first step toward achieving your aesthetic goals.


Facial plastic surgery isn't about changing who you are. It's about revealing the best version of yourself, the one that reflects how vibrant, confident, and beautiful you feel inside.


At Guthrie Facial Plastic Surgery in Brentwood, TN, Dr. Ashley Guthrie combines surgical expertise, artistic vision, and personalized care to help patients achieve natural, beautiful results. Every face is unique, and your surgical plan should be too.


Ready to explore what's possible? Call (615) 880-9500 or visit drashleyguthrie.com to schedule your consultation today.


Your transformation awaits.

Disclaimer:  The information provided on this blog is for general informational purposes only and is not intended as, and should not be considered, medical advice. All information, content, and material available on this blog are for general informational purposes only. Readers are advised to consult with a qualified healthcare professional for medical advice, diagnosis, or treatment. The author and the blog disclaim any liability for the decisions you make based on the information provided. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.