Meet Dr. James R. Shire, MD., F.A.C.S

Dr. Shire and his staff understand we all have one common desire to look and feel our best regardless of age. We are dedicated to provide our patients with over 25 years of experience of the highest level of professional care possible.

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Welcome to Shire Facial Plastic Surgery in Chattanooga, TN


Shire Facial Plastic Surgery has become Eastern Tennessee’s and Northern Georgia’s most renowned Facial Plastic and Cosmetic Surgery Center. Patients from Nashville, Knoxville, and Atlanta can easily schedule convenient consultations. So, if you’re looking for plastic surgery in Chattanooga, TN, we’re here to help. Since every patient is unique, Dr. Shire believes in the importance of educating our patients on all their options, both surgical and non-invasive techniques and alternatives, which may best suit the individual to obtain a natural, more youthful appearance.

We understand that deciding to get plastic surgery is an investment in you. Shire Facial Plastic Surgery prides itself on a one-on-one approach that provides the patient with the utmost in surgical excellence, kindness, and compassion throughout the rejuvenation process. For the facial cosmetic surgery Chattanooga, TN trusts, call for a consultation today!

Frequently Asked Questions

What does a facial plastic surgeon do?

From cosmetic to reconstructive surgeries, facial plastic surgeons are capable of a broad range of surgical adjustments to the face, neck, and surrounding areas. Whether an operation is purely for cosmetic reasons or a patient needs help with a traumatic injury or health condition,  a facial plastic surgeon in Chattanooga, TN, relies on would be an excellent choice.

Common services include:

  • Botox injections
  • Brow lifts
  • Rhinoplasty
  • Facelifts
  • Lip surgery
  • Neck lifts
  • Eyelid surgery

The list of surgical procedures they’re capable of goes far beyond those listed above, and their expertise allows them to take a customized approach to each patient’s needs. However, there’s much more involved than just the surgery. Your surgeon will be there from your initial consultation all the way to your aftercare. Facial plastic surgery is only one part of the equation, and you’ll need to consult your surgeon on how to care for your health while you heal after the fact.

How much does facial plastic surgery cost?

You can expect the cost of facial plastic surgery to vary significantly. The surgery is only one factor in the cost, as the surgeon, the tools and techniques used, medication, and even your location add to the cost. The average you can expect for most major plastic surgeries is roughly $10,000. However, they can range between $100 for simpler operations and $30,000 to $40,000 for more complicated jobs.

It’s understandable to look towards insurance to help with these costs, but unfortunately, most insurance companies don’t cover cosmetic procedures. From another perspective, facial plastic surgeries that are performed for medical reasons may be a different story regarding insurance. Nevertheless, payment plans are common when it comes to more financially tasking surgeries. The cost of your surgery can be discussed in your consultation, so you can prepare long before you walk into your operation.

What is the best age to consider facial plastic surgery?

Aside from individuals who need facial plastic surgery due to an injury, those who are in their 40s or older are solid candidates for these types of procedures. This particular age group will see more of a difference in their appearance. Anyone over the age of 18 can seek out facial plastic surgery, but younger people may not see much of a change.

Those who are older and have started to develop prominent wrinkles or sagging skin can positively impact their appearance with the help of plastic surgery procedures. The 40s and up may be the suggested age range, but they’re also one of the most prominent demographics of patients that seek out facial plastic surgeons. Natural aging looks different for everyone, and signs of aging may arise earlier for some people.

It’s up to your discretion at the end of the day, but if you’re looking for the best possible transformation, it wouldn’t hurt to wait until you’re a bit older. Of course, facial plastic surgery can’t reverse the aging process, but it can help provide a more youthful appearance, and the results can last for years.

Is blepharoplasty major surgery?

Blepharoplasty surgery may be a common procedure, but that doesn’t mean it isn’t considered a major surgery and a big commitment. With a focus on making adjustments on and around the upper and lower eyelids, incisions are made. Considering the proximity to the eye, this makes it a sensitive operation. An experienced blepharoplasty surgeon will be able to provide you with a seamless experience. Still, you’ll also want to take aftercare seriously to ensure the skin around your eyes properly heals.

A few potential risks associated with the surgery include:

  • Swelling
  • Asymmetry
  • Vision complications
  • Trouble closing your eyelids

These aren’t guaranteed to occur by any means, but it’s essential to understand the risks before diving in head first. Your best bet to avoid these risks is by working with a surgeon that has the education, hands-on expertise, and patience to perform the surgery. A good starting point is by choosing a board-certified surgeon that specializes in the procedure. It’s also vital that you follow aftercare instructions without fail, as a poor healing process can lead to various health complications.

What exactly does Botox do?

Botox, also known as botulinum toxin, is a neurotoxin primarily used to treat the appearance of wrinkles on the face, but it can be used for other reasons as well. Its effects can also help with lazy eyes, neck spasms, and even excessive sweating. Botox injections work by preventing muscle movement in the face. It does this by blocking nerves in the face that trigger muscle contractions. This leads to a smoother and more youthful appearance as wrinkles become less visible.

There are also different types of neurotoxins injections available, each with their own advantages. This can be discussed with the plastic surgeon. Botox treatments are quite common, but that doesn’t mean you shouldn’t consider the risks.

Some of these risks include the following:

  • Asymmetry in the face
  • Swelling, bruising, and pain
  • Dryness in the eyes or skin
  • Muscle weakness
  • Trouble speaking

Some of these risks are rarer than others, but it’s important to understand what’s possible. Overall, Botox injections are a very safe procedure and can be an effective, minimally invasive treatment. Working with us ensures you get the best Botox treatment Chattanooga has to offer.

How long does a nose rhinoplasty last?

When you take the invasive nature of this procedure into account, you can rest assured that the results should last a lifetime. Rhinoplasty entails altering the size, shape, and overall structure of the nose. The procedure can include internal and external adjustments. Although many people seek out the surgery for aesthetic purposes, it could also be a viable choice for health reasons.

A rhinoplasty surgeon can also make adjustments to help a patient breathe better, but most people pursue the surgery for cosmetic reasons. It should also be mentioned that the procedure comes with a fairly long recovery process.Even though the nose will look better when the cast is removed at a week to 10 days post op, it could take around three to four months for swelling to go down completely and up to a year before you see the final results of your surgery. 

Follow-up appointments may be needed to ensure everything is healing properly. Before anything else, you want to vet your surgeon and make sure they’re qualified for the job. To get the best rhinoplasty Chattanooga is known for, contact us at your convenience to schedule a consultation.

How much is the cost of rhinoplasty?

As with most facial plastic surgeries, the cost will definitely vary from patient to patient, but a general cost average sits between $5,000 and $6,000. This is a modest price range when you consider the results could last throughout your entire life. Once again, this is a cosmetic procedure, so insurance won’t be much help here. 

You can discuss payment options with your surgeon during your consultation to sort out an agreement that works best for you. Like other surgeries in this industry, the surgeon you work with, including the supplies, medication, and amount of work required, all tally into the total cost of the procedure.

What is the best age to have a facelift?

Anyone over the age of 18 can look into a facelift procedure, but that may not be the best time to get it done. Not only will results be minimal at best, but they simply wouldn’t be needed for most people. The choice to get a facelift comes down to personal discretion, but the best age to get a facelift is anyone over the age of 25. 

As your face starts to show the effects of natural aging, you can get a more youthful appearance with the help of a facelift. This procedure can offer minimal or substantial results depending on the amount of work needed.

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  • ASF Gold Standard
  • Best of the Best 7-Year Winner
  • Best of the Best 2015 Winner
  • ABFPRS Board Certified
  • RealSelf Top 100 Doctor 2015

We Are a Trusted Chattanooga Plastic Surgery Center

The face has one of the most complex anatomies in the field of plastic surgery. Surgical expertise, facial anatomy proficiency, a compassionate heart, and an artistic touch are essential qualities that can produce beautiful, stunning, natural-looking results. A plastic surgeon that possesses these skills can help you achieve your aesthetic goals with minimal to zero complications and without the need for a revision or secondary surgery. If you are looking for a Chattanooga plastic surgery center you can trust to perform surgical and non-surgical facial enhancements, there should only be one name in mind, and that is Shire Facial Plastic Surgery.

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