north carolina cosmetic surgery
North Carolina Cosmetic Surgery
Nearly all North Carolina cosmetic surgery procedures can be performed in the privacy of our state-of-art operating suite. We have completed a rigorous inspection process to earn certification by the prestigious American Association for Accreditation of Ambulatory Surgery Facilities.

Please click on the procedures below for more information on each surgery.

Botox is used to create overall facial rejuvenation. The injections temporarily reduce the appearance of lines, wrinkles, creases, crow's feet, and the thick lines that can form on and around the neck area. The toxin injections paralyze nerve impulses thus causing the muscles that cause wrinkles to flatten and become relaxed. The injections give the face an overall smoother appearance and patients look more refreshed. Some studies have also found evidence that Botox can help relieve migraine headaches, excessive sweating and muscle contractions in the neck and eye areas.

Brachioplasty/ Arm Rejuvenation
The arm between the shoulder and the elbow is a common source of complaint. The arm loses definition with age and the skin can sag. Although weight loss is largely healthy, it can lead to the appearance of loose, non-elastic, sagging skin in the arms amongst other places. Muscular strengthening is of advantage but may not be able to tighten the skin or shape the arm as much as some would like.

Breast Enlargement
Breast enlargement, or augmentation mammoplasty, is a surgical procedure to enhance the size and shape of the breasts. There are several reasons patients choose to have a breast enlargement:
  • To enhance the size of the breasts
  • To correct a reduction in breast volume after pregnancy
  • To balance a difference in asymmetry
  • For reconstruction following breast surgery


Breast Lift
Breast lift, or mastopexy, is a surgical procedure that raises and reshapes sagging breasts for a time. Pregnancy, nursing and gravity will, over time, cause the breasts to sag, and no surgery can permanently stop these forces. Breast lift surgery can also reduce the size of the areola. If breasts are small or have lost volume, implants can be used in conjunction with the breast lift surgery to increase firmness and size. If you're planning to have children after the surgery, it is advised that you wait to have the breast lift until afterwards, since pregnancy and nursing can stretch the breasts and reverse the effects of the surgery.

Breast Reduction
Breast reduction, or reduction mammoplasty, is a surgical operation used to help women with unusually large, sagging breasts to achieve smaller, firmer breasts that are more proportionate to their bodies. Sometimes larger breasts can cause certain complications like neck and back pain, skeletal deformities, skin irritations, and indentations in the skin caused by bra straps. Some women have a harder time doing physical activities and are self-conscious. By having a breast reduction these women will be more comfortable and have a better quality of life.

Ear Pinning (Otoplasty)
Ear pinning or otoplasty is a form of ear surgery performed to set disproportionately large or prominent ears closer to the head. Too much cartilage in the concha, the bowl-shaped portion of the ear and lack of development of the natural folds of the ear (antihelix) are the usual causes of large, protruding ears.

Protruding ears cause more image problems than many real medical problems. It is commonly sought for children who often suffer from the unwanted attention protruding ears can cause. Children are excellent candidates because their ear tissue is very flexible. Although the procedure is more common among children, almost anyone can achieve successful results with ear pinning.


Eyelid Surgery (Upper & Lower)
Eyelid surgery, or blepharoplasty, is a procedure to remove fat, excess skin, and/or muscle from the upper and lower eyelids. This surgery reduces drooping in upper lids and puffiness below your eye. However, the procedure doesn't remove crow's feet or other wrinkles, eliminate dark circles or lift sagging eyebrows.


52 years old

"Enjoying my more youthful face! I got mistaken for a nursing student last and carded at the wine shop! Thank you all for an excellent job with great results."

Face Lift
A face lift, also called Rhytidectomy, is a procedure in which the sagging facial and neck skin is improved by removing excess fat and skin from the area. The muscles are tightened and the skin is smoothed. This procedure is most appropriate for men and women over the age of 40.

Intense Pulse Light Therapy (IPL)
IPL therapy, or non-abattive resurfacing removes brown spots, broken surface capillaries and other skin discoloration, such as port wine stains. IPL also improves some fine wrinkling and with repeated treatments, helps generate collagen and elastin. IPL therapy also works well to eliminate rosacea.

Liposuction is a procedure in which fat deposits can be removed from specific areas. Liposuction can be performed on a variety of areas including: abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Dr. Anagnos uses a variety of techniques to remove unwanted fat. Liposuction is a good way to remove stubborn fat deposits that are not responding to diet and exercise. Liposuction is not to be used as a substitute for eating healthy and exercising.

Neck Rejuvenation/Neck Lift
As we age, different areas of the face and neck are affected differently. Some people develop wrinkling and sun damage in their entire face and neck. Some people seem to lose facial fat, while others accumulate fat in the neck and maintain good skin tone. Others may develop more exaggerated signs of aging in their neck.

Neck rejuvenation surgery can provide dramatic results, especially when combined with other rejuvenating procedures.
Radiesse is an FDA-approved, next-generation dermal filler that is setting a new standard for the correction of facial lines and wrinkles such as nasolabial folds. Made of calcium-based microspheres suspended in a water-based gel, Radiesse is injected into the skin through a simple and minimally invasive procedure giving you immediate, visible improvement of folds and wrinkles, and providing long-lasting and beautiful results. In many patients, the effects of Radiesse may last a year or more. Offering clinically proven safety and longevity, Radiesse is a convenient treatment that stimulates the body to produce new collagen - often with just one or two office visits. Get beautiful results and long-lasting wrinkle correction.


Juvederm is the only hyaluronic acid filler FDA approved to last up to 1 year. Juvederm is injected into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds). Dr. Anagnos uses Juvederm to smooth those 'parentheses' lines/creases, on the sides of your nose and mouth and instantly gives you a more youthful look. It may cause minor swelling and bruising that can be covered with makeup.

Dr. Anagnos also uses Juvederm to lessen acne scars, make lips more full, mitigate stubborn scars, lessen and smooth vertical lip lines.


Some fillers are designed for treating the finest lines such as those around the eyes and the 'crow's feet.' Belotero is a hyaluronic acid filler, like Restylane, Perlane and Juvederm, but it molecular structure has less cross-linking making it less likely to clump under the skin. After injection with a fine needle it lies in the skin in a neat line.

Fine Line Fillers
Some fillers are designed for treating the finest lines such as those around the eyes and the 'crow's feet.' Belotero is a hyaluronic acid filler, like Restylane, Perlane and Juvederm, but it molecular structure has less cross-linking making it less likely to clump under the skin. After injection with a fine needle it lies in the skin in a neat line.

Fine Line Reduction
Our fine line reduction solutions include Dermal Relaxer, Restylane, and Botox.

Fractional CO2 Laser
The treatment of choice for acne scars or signs of aging like fine lines, wrinkles, skin laxity, and uneven pigmentation is Fractional CO2 Laser Skin Rejuvenation. The Fractional CO2 Laser is a revolutionary new treatment for skin rejuvenation that makes it possible for you to have healthy, younger looking skin with minimal post treatment down time. a single treatment can show significant improvement in skin texture and color while softening wrinkles. 

Rhinoplasty (Nose)
Rhinoplasty is a surgical procedure in which the nose is reshaped and resculpted. Thousands of rhinoplasties, or nose jobs are performed each year. Dr. Anagnos can either increase or decrease the size of the nose, change the overall shape of the tip of the nose and bridge, narrow the nostril span, or change the angle between the upper lip and the nose. Rhinoplasty can also be done to correct a birth defect, or to allow better breathing.

Structural Fat Grafting
Structural fat grafting is a natural way to fill in creases and wrinkles, by a specific method of obtaining fatty tissue for grafting and re-implantation. The tissue is obtained by gentle aspiration with specialized instruments in an effort to maintain the basic structure of the cells, while keeping them alive and intact. The fat cells are purified and then re-implanted into areas that are deficient in soft tissue volume. Small amounts of fat are injected in layers to gradually build up new soft tissue structures. The classic areas for fat grafting are in the face, including laugh lines and frown lines, upper and lower lips, marionette lines, under the eyes and occasionally, the eyelids and jaw line. Another common area for fat grafting is the back of the hands. Fat cells are placed into an environment which allows for easy reestablishment. Tissues on the face are highly vascular, having a much better blood supply than the rest of the body, allowing a higher chance of successful grafting.

Submental/Under Jaw Neck Lift/The Weekend Neck Lift
Can the hanging skin under the chin be improved without surgical incisions around the ears? For many people, the skin under the chin is the most annoying reminder of getting older. The short answer to that question is yes even though minimally invasive incisions are still needed.

Tummy Tuck
Abdominoplasty, also known as the tummy tuck, is a surgical procedure in which excess skin and fat is removed from the abdomen area causing the muscles in the abdomen to tighten. This procedure dramatically alters the appearance of the stomach, making it look smoother and flatter. Patients with fat deposits or loose skin on the stomach that will not respond to diet and exercise are ideal candidates. Women, who after pregnancy, where the skin has been stretched to a point where it will not go back to normal are also ideal candidates. Patients who want to have more pregnancies or lose weight are urged to wait until after these events. Usually the after effects of the tummy tuck are long lasting if patients maintain a healthy weight and diet.

Weekend Facelift
The Weekend Lift is a variation on a surgical technique developed in the early 1990s. This procedure tightens the skin in the lower portion of the face and neck in a minimally invasive way. The patient benefits from impressive results similar to a traditional lower facelift with a lower likelihood of complications and a quicker recovery. The Weekend Facelift is an excellent procedure for men and women experiencing the signs of aging; sagging jowls and minor neck laxity in patients as young as 40. Patients with more advanced neck aging are better corrected with a more extensive lower facelift for maximum tightness and rejuvenation. The Weekend Facelift is more affordable than a traditional facelift and is an ideal solution for the right patient.


If you have any questions or would like more information, please contact us at 828-268-0082, email us, or use our online request form.

"What a team! This whole office works in sync to create a perfect experience for your patients needs." S.J.

"Dr. Anagnos. Your entire staff was a pleasure. You'll never know the positive impact you've had on me. I wanted these things done as long as I can remember. I know I'll get much more out of life now because of you and your very capable team." EB

"I will be back for any other treatment I may have with Dr. Anagnos." VB



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