- Medical Weight LossFirm and toned arms have become a highly desired complement to fashionable sleeveless tops and strapless dresses in recent years. Unfortunately many of our Charlotte patients find that due to weight loss, aging, or even just an inherited trait, sleek and firm upper arms are impossible to attain through diet and exercise alone. While muscle-toning exercises go a long way toward tightening the underlying muscular structures of the arm, these toning exercises cannot correct excess loosened skin or remove unwanted fat deposits.
- Pregnancy
- Labor and DeliveryLabiaplasty is a vaginal rejuvenation procedure designed to reshape the labia minora (genital lips). Enlarged labia can be a normal anatomical variation from birth or caused by aging, childbirth, or hormonal effects. Women have various reasons for desiring vaginal rejuvenation. A labiaplasty procedure can reduce discomfort caused by wearing tight clothing or bathing suits. Patients who are concerned about the appearance of the labia or genital area during intimate situations can also benefit from the procedure. Labiaplasty procedures are designed to reduce pain and discomfort, both emotionally and physically, due to enlarged labia.
- Anxiety
- Diabetes Care
- UltrasoundMany different liposuction technologies are currently available to patients. These include ultrasonic liposuction which uses ultrasound energy to liquefy the fat prior to removal. This has proven to be effective in areas where the tissues are very dense, such as the male breast in patients with gynecomastia. Laser liposuction has also gained popularity in recent years. This technology involves the use of laser tipped probes (which induce a thermal lipolysis) to liquefy the fat prior to removal. Based on personal experience with these other technologies, Dr. Miles has found that superior results can be achieved with the MicroAire’s PAL® LipoSculptor which has become the mainstay of his liposuction practice. This sophisticated device is the only US-patented liposuction instrument using a reciprocating motion (rather than rotating) to facilitate the movement of the cannula within tissue. This innovation reduces the amount of manual force and physical effort required to perform lipoplasty, especially in areas with fibrous tissue. The result is a more comfortable experience for both the surgeon and the patient. Unlike ultrasonic and laser lipoplasty devices, the PAL® LipoSculptor does not use heat, so there are no concerns for the accidental burning that can occur with other systems. This device has proven its effectiveness and has been purchased by the largest hospitals in the Charlotte area for use in liposuction cases. Companies will continue to capitalize on the big business of liposuction by marketing their new technologies as the “latest and greatest,” but patients need to beware of these advertising hooks and do their homework. The choice of a quality surgeon is the primary determinant of a quality result. Dr. Miles is an experienced board certified plastic surgeon who uses surgical techniques and equipment that have provided consistently excellent results.
- MRISilicone breast implants are filled with a soft, pliable silicone gel. The gel is designed to move and feel much like natural breast tissue. These implants are placed through the incision using a recently developed funnel system (Keller Funnel) that allows for a smaller incision and eliminates the requirement to physically touch the implant. This process is thought to reduce infection and capsular contracture rates. Breast asymmetries are corrected using silicone implants of different sizes. If the silicone implant ruptures or leaks, the gel is usually contained within the breast implant pocket. Because the implants feel so natural, an MRI study is sometimes recommended to assess their condition. There are currently three approved manufactures of breast implants in the United States. These companies are Mentor, Allergan, and Sientra.
- General SurgeryHis formal medical education began at Texas Tech University Health Sciences Center, where he earned his medical degree. He subsequently completed an internship and residency in General Surgery at Methodist Hospital in Dallas, Texas. During this time, he received exceptional training in pediatric surgery, trauma surgery and critical care medicine. He also received training in burn surgery at the renowned Parkland Memorial Hospital Burn Center. Dr. Miles is board certified by the American Board of Surgery.
- Wound CareThe vast majority of patients go through the recovery and healing process without any complications after a tummy tuck. Dr. Miles follows patients very closely after any surgical procedure and he is always available to answer any questions or address any concerns. After surgery, patients will have surgical dressings over the incisions and the lower abdomen will be covered with an abdominal binder. This supportive garment is typically worn for several weeks. Patients will generally have surgical drains placed during the procedure, which are small tubes placed under the skin to drain any excess blood and fluid that may collect. The drains are painlessly removed in the office after 7-10 days. There are no sutures to remove after surgery. The wound care instructions and drain management is very simple. All patients are given specific written instructions for abdominoplasty recovery during their preoperative appointment. These instructions cover incision and drain care, medications, and how to monitor the surgical site.
- Ear SurgeryEar surgery focuses on creating a symmetrical and natural shape that matches the proportions of the rest of the face and head. Both children and adults can experience a greatly improved body image because of this surgical procedure. In fact, many adults who undergo the surgery wish they had undertaken it sooner.
- Reconstructive SurgeryWelcome to the website of North Charlotte Plastic and Reconstructive Surgery and the private practice of Dr. Erik Miles, FACS. We are pleased to offer patients a variety of aesthetic and reconstructive surgical procedures, as well as many non-surgical procedures designed to help you look and feel your very best.
- BotoxBotox has redefined aging gracefully over the past decade. The cosmetic form of botulinum toxin is most commonly known by the brand name Botox, however there are other competitors as well such as Dysport. It is the most popular non-surgical cosmetic procedure available today.
- Brow LiftUpper eyelid surgery addresses heavy and drooping upper eyelids. Loose or sagging skin becomes more pronounced with age. The resulting skin folds can obscure the natural contour of the upper eyelids conveying a tired or sad look. In some cases, these folds may become so pronounced that they obscure the vision, especially with upward gaze. An upper blepharoplasty procedure can remove excess fat and skin from the area. An upper eyelid lift works well on its own or in conjunction with a brow lift procedure which elevates the eyebrows and further enhances the overall appearance.
- Eyelid SurgeryLower eyelid surgery corrects the excess fat and skin that accumulates beneath the eye that comes with age. Drooping under eye “bags†prematurely age the face and can make patients look sad or tired even when they are happy and energized. To correct this condition, the extra fat is directly removed through a small incision. Conservative skin resection can also be done. The result is a smoother and firmer under eye appearance.
- LiposuctionIn many cases a non-invasive liposuction procedure will be all that is necessary to remove excess breast tissue to flatten the chest and deliver the desired results. By targeting the excess fat deposits and tissue in the chest area, liposuction permanently removes the volume that creates the appearance of male breasts. The result of liposuction is a more masculine shape without the need for reduction surgery.
- Breast AugmentationDo you really need to replace your breast implants after ten years? Breast implant surgeon greater Charlotte area Breast augmentation with implants remains one of the most popular cosmetic procedures. This procedure has a high satisfaction rate, with the vast majority of patients (more than 98%) saying that they would repeat the procedure if they knew how it would turn out. When women come to our office for a consultation, they’re usually very excited about the possibilities for their... Read More
- Breast ReductionView Our Photo Gallery A breast reduction is a surgical procedure that reduces the size of a female’s breasts. The procedure is also referred to as a reduction mammoplasty. Breast reduction surgery is extremely common, with over a 120,000 procedures performed every year in the United States. A wide range of patients seek breast reduction surgery for a variety of personal reasons. Breast reduction surgery is a highly individualized procedure. Most patients seek to achieve a breast size that is in a better proportion with their body. Most patients also seek to alleviate the significant discomfort associated with overly large breasts. There are many physical symptoms and medical conditions that have been associated with excessively large breast size. By removing excess breast fat, glandular tissue and skin, breast reduction surgery can usually solve these problems. Patients are very happy with the resulting improved size and shape of the breasts. Following breast reduction, clothes will fit much better, symptoms are usually eliminated completely, and patients feel much more confident about their bodies. Breast reduction is truly a life changing procedure for most women.
- Breast LiftBreasts change shape over time due to weight fluctuation, breastfeeding, loss of density with aging, and the effects of gravity. A breast lift procedure, also known as a mastopexy, can surgically elevate and firm sagging breasts to restore a more youthful contour and projection of the breasts. The result of breast lift surgery is a more pleasing silhouette that can boost confidence and self-esteem.
- Breast ReconstructionI came to Dr. Miles for my breast reconstruction and augmentation after my old implants became hardened. I thought Dr. Miles and the staff were fabulous! All are so personable and friendly & always willing to give as much time to you as you need. Dr. Miles makes you feel very comfortable and confident. I saw another doctor when deciding who to use and I knew right away that Dr. Miles was the doctor I wanted to do my surgery, I would definitely recommend Dr. Miles to others.-Breast Implant Removal and Replacement Patient
- Plastic SurgeryPlastic surgery can improve your appearance, self esteem, and confidence, however all patients are different and not everyone is a candidate for a particular procedure. We feel that the better informed you are, the more comfortable you will be with your decision to proceed with plastic surgery. Your involvement is an important part of the process. Only a thorough consultation by a qualified plastic surgeon can help you to understand the indications, alternatives, benefits, and risks of each procedure. Your safety and well-being are always our primary concern, and we will do everything we can to ensure that you receive the individualized care necessary to help make your procedure a success.
- Face LiftView Our Photo Gallery If you are bothered by the signs of aging in your face, a facelift may be right for you. Technically known as rhytidectomy, a facelift is a surgical procedure designed to improve visible signs of aging in the face and neck. Typical changes that can be improved with a facelift include sagging in the midface, deep creases along the nose extending to the corners of the mouth, loss of muscle tone in the lower face, jowling, and loose skin under the chin and jaw that can make even a person of normal weight appear to have a double chin. As a restorative surgery, a facelift does not change your fundamental appearance and cannot stop the aging process. A facelift can only be performed surgically. Non-surgical rejuvenation treatments cannot achieve the same results, but may help delay the time at which a facelift becomes appropriate and complement the results of surgery. A facelift is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.
- Neck LiftGood candidates for Kybella are at or fairly close to their ideal body weight, and are bothered by submental fullness. In general, the treatment will produce better results if you don’t have a lot of skin laxity in the area. (Although Kybella often produces some skin tightening, those with significant amounts of skin laxity will get better results from a neck lift surgical procedure.) Patients must be at least 18 years of age. Certain conditions, such as previous surgery on the neck, may affect the results of Kybella treatment, and other options may be preferable in these cases.
- BlepharoplastyPatients in our North Charlotte practice who only require fat removal to reduce under eye puffiness might be good candidates for a transconjunctival blepharoplasty. During this procedure a small incision is made on the interior of the lower eyelid rendering the scar invisible.
- AbdominoplastyA tummy tuck, or abdominoplasty, is a procedure that is designed to safely remove excess fat and skin from the central and lower abdomen, while restoring weakened or separated muscles. This creates a desirable abdominal profile that is smoother, flatter, and firmer.
- Breast SurgeryRecovery from revision breast surgery is generally similar to the initial surgery. Some patients actually experience a quicker recovery with less downtime after their second surgery. However, this varies depending on the complexity of the procedure undertaken.
- OtoplastyView Our Photo Gallery The surgical procedure is designed to pin the ears closer to the head and in some cases to reduce the overall size of the ears. Two different irregularities can cause ears to stick out prominently. Some otoplasty patients possess an overy-prominent conchal bowl –the bowl-shaped area of the ear that surrounds the ear canal.
- Lip AugmentationPermaLip provides patients with a permanent lip augmentation that is subtle and beautiful. With a PermaLip implant, Dr. Miles is able to create greater facial harmony while providing the classically beautiful full and sensuous lips that patients desire. The PermaLip implant is the most natural looking lip enhancement available. It is appropriate for both younger and older patients.
- Body ContouringBody contouring procedures are designed to improve the shape and tone of the skin’s underlying tissues. These procedures also remove excess sagging skin and fat. Patients who undergo body contouring enjoy increased tone and a normalized overall body appearance. The resulting smooth body contours allow patients who have done the hard work of losing weight to proudly show off their hard earned fitness without the distraction of extra skin flaps or other abnormal appearing sags and pockets.
- GynecomastiaBreasts are most commonly associated with the feminine form. However, nearly half of the male population suffers from a condition known as gynecomastia wherein the male chest appears to have characteristically feminine breasts. This condition is often disparaged in popular culture with terms like “man boobs†. However gynecomastia, especially in its extreme, can cause significant discomfort in addition to embarrassment and loss of body confidence for those who are affected by the condition. Gynecomastia often impedes social interaction. Men with the condition often avoid sports, intimacy and other vital social experiences because of discomfort and lack of body confidence. Some who suffer from gynecomastia may even go as far as masking their chests with bulky clothing or complicated bindings.
- Cosmetic SurgeryOur office is well equipped to safely perform a variety of surgical procedures, ranging from simple minor procedures to complex surgeries. Dr. Miles has successfully performed thousands of outpatient cosmetic surgery procedures during his career, achieving excellent results and satisfied patients. Here at North Charlotte Plastic & Reconstructive Surgery, we have built a fully accredited operating room that is equipped with the latest technology. Our facility meets the highest standards of safety.
- Forehead LiftThe surgical technique recommended will depend on the position of the eyebrows, the amount of excess upper eyelid skin, and the height of the hairline. In some instances, an incision is made across the top of the scalp, beginning above the ears and hidden within the hair. Sometimes the incision is placed at the front of the hairline or, in some cases, toward the middle of the scalp. Through the forehead lift incision, parts of the muscles that cause wrinkling and frown lines can be modified or removed, excess skin can be removed, and the eyebrows can be lifted. One forehead lift technique uses an endoscope, a long, thin tube with a light on the end, attached to a video camera. The endoscope is inserted through several tiny incisions in the scalp and allows the plastic surgeon to see and work on the various internal structures of the forehead. The endoscopic technique requires minimal incisions, but in some instances, alternate methods may be preferable, or a combination of endoscopic and other techniques may be used.
- Acne Treatment
- LesionsWe also offer a treatment called intense pulsed light (IPL), which uses light energy to help with removing lesions on the skin (such as “sun spots†), improving skin tone, and other common concerns. This can be combined with VoluDerm RF microneedling, which helps further improve skin texture, contour, and volume. The combined treatment is called SmoothGlo.
- Chemical PeelsVI Peel are advanced medical-grade chemical peels for the treatment of fine lines and wrinkles, age and sun spots, acne and acne scarring, hyperpigmentation, melasma, enlarged pores, oil balancing, and overall skin health.
- Skin CareBy removing the hair and dead skin, dermaplaning allows your skin care products to penetrate better, which allows for better results. You will also find that your make-up will go on flawlessly, revealing smoother looking skin, after dermaplaning in Charlotte.
- Burns
- Allergies